Active NPI
Miranda Paige Blocher, LAT, ATC
- Athletic Trainer
- Evansville, IN
National Provider Identifier
1609469675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36003388A
- Practice address
- 1216 S Helfrich Ave
Evansville, IN 47712-4310 - Phone
- (812) 227-1079
- NPI assigned
- Feb 19, 2021
- Last updated
- Feb 19, 2021
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36003388A | IN | Primary |
Addresses
Primary practice location
1216 S Helfrich Ave
Evansville, IN 47712-4310
Mailing address
1216 S Helfrich Ave
Evansville, IN 47712-4310
Phone (812) 227-1079
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mblocher@prorehab-pc.com | Direct | PRORehab PC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36003388A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1609469675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 S HELFRICH AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477124310",
"telephone_number": "812-227-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 S HELFRICH AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477124310",
"telephone_number": "812-227-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCHER",
"first_name": "MIRANDA",
"middle_name": "PAIGE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36003388A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mblocher@prorehab-pc.com",
"affiliation": "Y",
"affiliationName": "PRORehab PC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1216 S Helfrich Ave",
"city": "Evansville",
"state": "IN",
"country_code": "US",
"postal_code": "477124310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Evansville, IN
- Jayme Blessinger, FNP
- Lauren N Blessinger, SLP
- Mallory Elaine Blessinger, MSN, RN, PMHNP-BC
- Kristen Blikken
- Justin C Blinn, AGACNP-BC
- Blue Skies Mindfulness & Wellness, LLC
- William A. Blume, MD
- Staci M Blythe, PTA
- Board of Trustees of Welborn Clinic (Welborn Clinic Urology)
- Board of Trustees of Welborn Clinic (Welborn Clinic Cardiology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.