Miranda Alberta Irene Smoot, APRN

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

Practice address

1701 S 4TH St
Clinton, OK 73601-2309

Phone

(580) 331-2200

NPI assigned

Oct 16, 2023

Last updated

Apr 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miranda Alberta Irene Harting Former name

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Oklahoma

  • Skilled Nursing Facility
  • Clinton, OK
  • NPI 1225295710
  NPD (past)

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1568244655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 CLOUD NINE CIR",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962625",
            "telephone_number": "405-408-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S 4TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736012309",
            "telephone_number": "580-331-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Cloud Nine Cir",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730962625",
            "country_code": "US",
            "telephone_number": "405-408-4960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOOT",
        "first_name": "MIRANDA",
        "middle_name": "ALBERTA IRENE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "HARTING",
            "middle_name": "ALBERTA IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kaci Smith, LPN
• Memory Smith
• Monti Jo Smith
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• Debra Sue Speer
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• VA Clinic/Center in Clinton, OK
• Providers in Clinton, OK by specialty
• VA Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.