Active NPI
Laurie Ann Miranda, AUD
- Audiologist
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23001906A
- Practice address
- 1115 Ronald Reagan Pkwy Ste 254
Avon, IN 46123-6911 - Phone
- (317) 944-6467
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 23001906A | IN | Primary |
Addresses
Primary practice location
1115 Ronald Reagan Pkwy Ste 254
Avon, IN 46123-6911
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
705 Riley Hospital Dr
Ri 0860
Indianapolis, IN 46202-5128
Phone (317) 944-5590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200618940 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmiranda@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23001906A | IN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Hearing Lifestyles, LLC | Audiologist | Past | Accepting new patients |
| Chegar Facial Plastic Surgery PC | Past | Accepting new patients |
Locations
1115 Ronald Reagan Pkwy
Ste 254
Avon, IN 46123
Phone (317) 705-2700
1115 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-2500
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
705 Riley Hospital Dr
#860
Indianapolis, IN 46202
Phone (317) 630-8970
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
702 Barnhill Dr
Rm 860
Indianapolis, IN 46202
Phone (319) 630-8970
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Interoperability endpoints
- lmiranda@direct.iuhealth.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Otolaryngology Physician
- Indianapolis, IN
- NPI 1275563447
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Carmel, IN
- NPI 1194918540
-
- Audiologist
- Salisbury, NC
- NPI 1538431887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1346269016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 RONALD REAGAN PKWY STE 254",
"city": "AVON",
"state": "IN",
"postal_code": "461236911",
"telephone_number": "317-944-6467"
}
],
"practiceLocations": [
{
"address_1": "705 Riley Hospital Dr",
"address_2": "RI 0860",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025128",
"country_code": "US",
"telephone_number": "317-944-5590",
"fax_number": "317-948-5817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA",
"first_name": "LAURIE",
"middle_name": "ANN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23001906A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200618940",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmiranda@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1115 Ronald Reagan Pkwy Ste 254",
"city": "Avon",
"state": "IN",
"country_code": "US",
"postal_code": "461236911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.