Miranda Griswold

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-315989 Issued in CA

Practice address

1235 W Main St
Merced, CA 95340-4524

Phone

(209) 383-4859

NPI assigned

Oct 10, 2024

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Merced County Community Action Board

  • Case Management Agency
  • Merced, CA
  • NPI 1801521166
  NPD

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1396565859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RANCHO GRANDE CIR",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014529",
            "telephone_number": "209-383-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404524",
            "telephone_number": "209-383-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISWOLD",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-315989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keshia Marie Griffin, VN180582
• Cynthia Grijalva
• Joseph Grim, MD
• Kelsey Grimaldi, PT
• Becky Suzette Grissom
• Edward Nathan Grossman, O.D.
• Kenneth Randell Grossman, M.D.
• Anne M Grover, PA-C
• Lorena Groves
• Rosa Maria Guerrero-Alvarenga, LCSW

• Lactation Consultant (Non-RN) in Merced, CA
• Providers in Merced, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.