Miranda Altman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP134585 Issued in TX

Practice address

4642 N Loop 289 Ste 101
Lubbock, TX 79416-2422

Phone

(806) 797-4985

NPI assigned

Jul 21, 2017

Last updated

Nov 3, 2020By the provider in NPPES

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

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CSK Medical PartnersGroup PAC ID 2466404447, 20 clinicians

Lubbock County Hospital DistrictGroup PAC ID 4284617507, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center Hospital, Lubbock, TX, CCN 450686
• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CSK Medical Partners

  dba Lubbock Sports Medicine Associates

  • Specialist
  • Lubbock, TX
  • NPI 1902842404
  Medicare reassignment Care Compare group NPD
• Lubbock County Hospital District

  dba UMC EC Physicians

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1508855578
  Medicare reassignment Care Compare group NPD
• Center for Orthopedic Surgery L.L.P.

  • Orthopaedic Surgery Physician
  • Lubbock, TX
  • NPI 1093873176
  Medicare reassignment NPD
• CSK Medical Partners

  dba Lubbock Sports Rehab

  • Physical Therapy Clinic/Center
  • Lubbock, TX
  • NPI 1467576793
  NPD

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

• Lubbock County Hospital District

  dba Univeristy Medical Center

  • Land Ambulance
  • Lubbock, TX
  • NPI 1174620546

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  dba University Medical Center

  • Ambulatory Surgical Clinic/Center
  • Lubbock, TX
  • NPI 1538245717

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  dba University Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Lubbock, TX
  • NPI 1679521652

  Hospital

  Care Compare affiliation
• Lubbock County Hospital District

  dba University Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1821087164
  Care Compare affiliation
• Lubbock County Hospital District

  dba Univeristy Medical Center

  • Hearing and Speech Clinic/Center
  • Lubbock, TX
  • NPI 1831299114

  Hospital

  Care Compare affiliation
• Lubbock Heritage Hospital, LLC.

  dba Grace Surgical Hospital

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1225289499
  Care Compare affiliation

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1730602749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 MILWAUKEE AVE",
            "address_2": "STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240923",
            "telephone_number": "806-475-5544",
            "fax_number": "806-475-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4642 N LOOP 289 STE 101",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162422",
            "telephone_number": "806-797-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "MIRANDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad Ghaith Alrahawan, MD
• Abdel Rahman Alsaleh
• Angela Rae Alspaugh, M.ED.
• Mahmoud Abdulhamid Alsuwayah, MD
• Idris Altinisik, MD
• Randa Leigh Altman, OTR
• Jessica Noelle Alvarado, FNP-C
• Maureen Alvarado, PT
• Daniela Alvarez Exiga, PTA
• Elizabeth Ashley Alvarez

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.