Jesny Liceth Miranda

Primary specialty

Social WorkerTaxonomy code 104100000X

License

104143 Issued in TX

Practice address

1390 George Dieter Dr Ste 140
El Paso, TX 79936-7430

Phone

(915) 320-1390

NPI assigned

Dec 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Family Endeavors, Inc

  dba Endeavors

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Paso, TX
  • NPI 1538745484
  NPD

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1679233902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14708 HARRY FLOURNOY AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799381030",
            "telephone_number": "915-346-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 GEORGE DIETER DR STE 140",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367430",
            "telephone_number": "915-320-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "JESNY",
        "middle_name": "LICETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "104143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Renee Miranda, CPNP-PC
• Annette Miranda
• Blas Alberto Miranda, M.D.
• Carlos Miranda, MD
• Claudia Miranda
• Justine Miranda, DMD
• Marlene Miranda
• Ruth Alicia Miranda, MPPD, RDN, LD
• Alejandra Mireles, OTR
• Jessica Mireles, PMHNP, APRN

• Social Worker in El Paso, TX
• Providers in El Paso, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.