Active NPI
Miranda Pacheco
- Student in an Organized Health Care Education/Training Program
- Duluth, MN
National Provider Identifier
1578417226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1102 E 4TH St
Duluth, MN 55805-2219 - Phone
- (218) 310-8896
- NPI assigned
- Feb 20, 2026
- Last updated
- Feb 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MN | Primary |
Addresses
Primary practice location
1102 E 4TH St
Duluth, MN 55805-2219
Mailing address
1200 Kenwood Ave
Duluth, MN 55811-4199
Phone (218) 723-6046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webmed LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1578417226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 KENWOOD AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558114199",
"telephone_number": "218-723-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 E 4TH ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052219",
"telephone_number": "218-310-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
- Mary Ellen Owens, CNP
- Owl Moon Mental Health
- Oxygen, Respiratory & Medical Equip, Inc (Diabetic and Comfort Shoes)
- P J Noss Corporation
- P.L. Lukovsky Chiropractic Clinic P.a. (Lukovsky Chiropractic Clinic)
- Amy Therese Packer, A.U.D.
- Tracy Gallagher Pagliuca, RN, CNP
- Brittany June Paige, APRN, CNP
- Kathryn Palm, MA, CNP, PMHNP-BC
- Nathan Richard Palm, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.