Organization Active NPI

Miranda Works

Doing business as Tymeka Miranda

  • Developmental Therapist
  • Chicago, IL
National Provider Identifier
1295184836
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
MIRANDA WORKS
Doing business as
Tymeka Miranda
Practice address
3521 W 72ND St
Chicago, IL 60629-4301
Phone
(773) 315-7505
Fax
(773) 424-8207
NPI assigned
Jun 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tymeka Artheia MirandaNPI 1083047864
Title
Owner
Phone
(773) 315-7505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X IL Primary

Addresses

Primary practice location

3521 W 72ND St
Chicago, IL 60629-4301

Mailing address

3521 W 72ND St
Chicago, IL 60629-4301
Phone (773) 315-7505

Other names 1

  • Tymeka Miranda Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1295184836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 W 72ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294301",
            "telephone_number": "773-315-7505",
            "fax_number": "773-424-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 W 72ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294301",
            "telephone_number": "773-315-7505",
            "fax_number": "773-424-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA WORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "TYMEKA",
        "authorized_official_middle_name": "ARTHEIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-315-7505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tymeka Miranda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.