Miranda Clare Kepler

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

58147 Columbia River Hwy Ste C
Saint Helens, OR 97051-6229

Phone

(510) 364-7657

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Miranda Clare Mickiewicz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Medicine Wheel Recovery Services, Inc.

  • Community/Behavioral Health Agency
  • Saint Helens, OR
  • NPI 1730553876
  NPD (past)

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1710601174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58147 COLUMBIA RIVER HWY STE C",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516229",
            "telephone_number": "510-364-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58147 COLUMBIA RIVER HWY STE C",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516229",
            "telephone_number": "510-364-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPLER",
        "first_name": "MIRANDA",
        "middle_name": "CLARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "MICKIEWICZ",
            "middle_name": "CLARE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Carroll Kehoe
• Janet R Kelly, M.D.
• Nick Kelly
• Angeleic Kennemer
• Sabrina Kent
• Shylo Sophia Ketterling
• Michelle Lynn Kimball
• Jennifer Joanne King, MSW, RN
• Lindsey King, LMT
• Dixon Kirsch, PH.D., CCC-SLP

• Case Manager/Care Coordinator in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.