Miranda Jean Benson Surratt

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6200 Saratoga Blvd.
Building 2 Suites 102 103
Corpus Christi, TX 78414

Phone

(361) 717-1608

NPI assigned

Nov 15, 2023

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

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1508631060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 CRYSTAL BAY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142846",
            "telephone_number": "361-480-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SARATOGA BLVD.",
            "address_2": "BUILDING 2 SUITES 102 103",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414",
            "telephone_number": "361-717-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRATT",
        "first_name": "MIRANDA",
        "middle_name": "JEAN BENSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salim R Surani, M.D.
• Shiri Surapaneni, M.D
• Surgeonone Inc
• Surgical Associates Corpus Christi, LLP
• Surgical Consultants PA
• Marian B Sussman, MD
• Haley Dawn Sutherland, D.O.
• Kristopher Ryan Sutherly, MD
• Rachel Sutherly, CRNA, MSN
• Terri L Sutphin, M.S.,CCC/SLP

• All providers in Corpus Christi, TX
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.