Individual provider Active NPI

Dunia Miranda, APRN-NP

  • Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1699545327
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
115165 Issued in NE
Practice address
418 N Webb Rd
Grand Island, NE 68803-4045
Phone
(308) 384-9300
Fax
(308) 384-4542
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 115165 NE Primary

Addresses

Primary practice location

418 N Webb Rd
Grand Island, NE 68803-4045

Mailing address

3003 W 10TH St
Grand Island, NE 68803-3405
Phone (315) 800-8264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226003337 NE Practitioner - Nurse Practitioner 4082059357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Island Dermatology PCGroup PAC ID 0244284768, 9 clinicians

Practice addresses (Care Compare)

418 N Webb Rd
Grand Island, NE 68803-4045
Phone (308) 384-9300

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115165NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Dermatology PC CurrentSince Jan 3, 2024 Accepting new patients

Locations

418 N Webb Rd
Grand Island, NE 68803
Phone (308) 384-9300

Interoperability endpoints

  • Direct secure messaging: dmiranda@giderm.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1699545327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W 10TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033405",
            "telephone_number": "315-800-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034045",
            "telephone_number": "308-384-9300",
            "fax_number": "308-384-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "DUNIA",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.