Active NPI
Miremonde Joseph, OTD, OTR/L, CLT
- Occupational Therapist
- North Las Vegas, NV
National Provider Identifier
1295365344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2958
- Practice address
- 1550 W Craig Rd Ste 210
North Las Vegas, NV 89032-0329 - Phone
- (702) 360-9142
- NPI assigned
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 20442 | FL | |
| Occupational Therapist | 225X00000X | OT-2958 | NV | Primary |
Addresses
Primary practice location
1550 W Craig Rd Ste 210
North Las Vegas, NV 89032-0329
Mailing address
2611 NW 60TH Way
Sunrise, FL 33313-2230
Other practice location 1
2611 NW 60th Way
Sunrise, FL 33313-2230
Phone (954) 873-5209
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joseph020@gannon.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20442 | FL | MD | Occupational Therapist |
| OT-2958 | NV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Handology, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hand Occupational Therapist
- Plantation, FL
- NPI 1700739505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1295365344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 NW 60TH WAY",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333132230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 W CRAIG RD STE 210",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320329",
"telephone_number": "702-360-9142"
}
],
"practiceLocations": [
{
"address_1": "2611 NW 60th Way",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333132230",
"country_code": "US",
"telephone_number": "954-873-5209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "MIREMONDE",
"credential": "OTD, OTR/L, CLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "20442",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "OT-2958",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "joseph020@gannon.edu",
"affiliation": "N",
"address_1": "2611 NW 60th Way",
"city": "Sunrise",
"state": "FL",
"country_code": "US",
"postal_code": "333132230",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.