Active NPI
Miranda Lynn Cox, MS, CGC
- Genetic Counselor (M.S.)
- Rockford, IL
National Provider Identifier
1619623360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 247.000153
- Practice address
- 8201 E Riverside Blvd
Physician Clinic, Floor 2
Rockford, IL 61114-2300 - Phone
- (815) 971-5069
- Fax
- (815) 968-7830
- NPI assigned
- Feb 22, 2022
- 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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 247.000153 | IL | Primary |
Addresses
Primary practice location
8201 E Riverside Blvd
Physician Clinic, Floor 2
Rockford, IL 61114-2300
Mailing address
8201 E Riverside Blvd
Physician Clinic, Floor 2
Rockford, IL 61114-2300
Phone (815) 971-5069
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247.000153 | IL | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1619623360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"address_2": "PHYSICIAN CLINIC, FLOOR 2",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-5069",
"fax_number": "815-968-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"address_2": "PHYSICIAN CLINIC, FLOOR 2",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-5069",
"fax_number": "815-968-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "MIRANDA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MS, CGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "IL",
"license": "247.000153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.