Active NPI
Veneranda Miranda
- Behavior Technician
- Charles Town, WV
National Provider Identifier
1720754484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 451 Jefferson Ave
Charles Town, WV 25414-1127 - Phone
- (951) 956-4261
- NPI assigned
- Aug 20, 2021
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MD | Primary |
Addresses
Primary practice location
451 Jefferson Ave
Charles Town, WV 25414-1127
Mailing address
451 Jefferson Ave
Charles Town, WV 25414-1127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304000063391 | Other | WV | UNITEDHEALTHCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vmiranda@monocacycenter.net | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1720754484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 JEFFERSON AVE",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254141127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 JEFFERSON AVE",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254141127",
"telephone_number": "951-956-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "VENERANDA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "304000063391",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vmiranda@monocacycenter.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "451 Jefferson Ave",
"city": "Charles Town",
"state": "WV",
"country_code": "US",
"postal_code": "254141127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charles Town, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.