Individual provider Active NPI

Davitt E Miranda, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1538969845
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11038162 Issued in FL
Practice address
1938 Soule Rd
Clearwater, FL 33759-1507
Phone
(727) 726-7442
Fax
(727) 288-1111
NPI assigned
Mar 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11038162 FL Primary

Addresses

Primary practice location

1938 Soule Rd
Clearwater, FL 33759-1507

Mailing address

1938 Soule Rd
Clearwater, FL 33759-1507
Phone (727) 726-7442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422001430 FL Practitioner - Nurse Practitioner 5496270589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aandm Psychiatric Services PAGroup PAC ID 9436175403, 10 clinicians

Practice addresses (Care Compare)

1938 Soule Rd
Clearwater, FL 33759-1507
Phone (727) 726-7442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A&M Psychiatric Services PA CurrentSince Apr 14, 2025 Accepting new patients

Locations

1938 Soule Rd
Clearwater, FL 33759
Phone (727) 726-7442

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1538969845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 SOULE RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591507",
            "telephone_number": "727-726-7442",
            "fax_number": "727-288-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 SOULE RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591507",
            "telephone_number": "727-726-7442",
            "fax_number": "727-288-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "DAVITT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11038162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.