Miranda G Trent

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024164342 Issued in VA

Practice address

233 4TH St NW
Charlottesville, VA 22903-4593

Phone

(434) 984-6220

Fax

(434) 984-5517

NPI assigned

Aug 28, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518484864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 4TH ST NW",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034593",
            "telephone_number": "434-984-6220",
            "fax_number": "434-984-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 4TH ST NW",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034593",
            "telephone_number": "434-984-6220",
            "fax_number": "434-984-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "MIRANDA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024164342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily R Trauernicht, MD
• Lanz Travers, LPC
• Treehouse Child Psychiatry, PLC
• Craig Trejo
• Megan Rouse Trejo, DO
• Rafael Triana, PH.D.
• Hannah B Trible, LPC
• Nathaniel D Tricker, DDS
• Djordje Trifunovic
• Jessica Trinh, M.D.

• Nurse Practitioner in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.