Jeannie Teresa Miranda, RN BS

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

271920 Issued in NY

Practice address

39 Old Mountain Road
Spring Glen, NY 12483-0441

Phone

(845) 647-3142

Fax

(845) 647-3142

NPI assigned

Feb 18, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2010.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1306168349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "SPRING GLEN",
            "state": "NY",
            "postal_code": "124830441",
            "telephone_number": "845-647-3142",
            "fax_number": "845-647-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 OLD MOUNTAIN ROAD",
            "city": "SPRING GLEN",
            "state": "NY",
            "postal_code": "124830441",
            "telephone_number": "845-647-3142",
            "fax_number": "845-647-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "JEANNIE",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "RN BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "271920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Rue, RN

• All providers in Spring Glen, NY
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.