Cedar Sage PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CEDAR SAGE PLLC

Practice address

143 S Main St
Fayette, IA 52142-7701

Phone

(319) 415-4728

NPI assigned

Jan 5, 2022

Last updated

Jan 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miranda Franck, PMHNPNPI 1255090239

Title

Pmhnp

Phone

(319) 415-4728

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miranda Leann Franck, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayette, IA
  • NPI 1255090239
  Authorized official Same address or phone

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1619638293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "FAIRBANK",
            "state": "IA",
            "postal_code": "506290026",
            "telephone_number": "319-415-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S MAIN ST",
            "city": "FAYETTE",
            "state": "IA",
            "postal_code": "521427701",
            "telephone_number": "319-415-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR SAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "FRANCK",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "319-415-4728",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk A Abernathy, D.C.
• Shelly Lynn Abernathy, D.C.
• Brieanna Barnes
• Evan Jay Bartusek, MS, ATC
• Rachel Boeke, MPA, LAT, ATC
• Charming Smiles PC (Fayette Dental Clinic)
• City of Fayette
• Colonial Manors of Fayette, Inc (Maple Crest Manor & Assisted Living)
• Kyle James Domin
• Jenna Marie Elsbernd

• Psychiatric/Mental Health Nurse Practitioner in Fayette, IA
• Providers in Fayette, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.