Miranda L Kennedy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010188 Issued in NY

Practice address

1145 Route 55 Ste 5
Lagrangeville, NY 12540-5047

Phone

(845) 473-6620

Fax

(845) 473-0407

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Therapeutic Foundations LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Poughkeepsie, NY
  • NPI 1437738739
  NPD (past)
• Thomas M. Erichson, O.D., P.L.L.C.

  • Optometrist
  • Poughkeepsie, NY
  • NPI 1902115009
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1356431423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 ROUTE 55 STE 5",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405047",
            "telephone_number": "845-473-6620",
            "fax_number": "845-473-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 ROUTE 55 STE 5",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405047",
            "telephone_number": "845-473-6620",
            "fax_number": "845-473-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MIRANDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joint Replacement Cin of Hudson Valley LLC
• Keith Jordan, LCSW
• Julie L. Gasparri, M.S.Ed., CCC-SLP, PLLC
• Sarah Sue Kehl, LPN
• Loren C Kelly, M.S.
• Kim Raffaelli Mental Health Counseling, PLLC (Legacy Mental Health Counseling)
• Bryon Labrenz, M.D.
• Lori Lagattuta
• Lagrange Pharmacy Inc.
• Alexis J Lenaburg, RN

• Chiropractor in Lagrangeville, NY
• Providers in Lagrangeville, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.