Active NPI
Miranda Williams
- Developmental Therapist
- Shippensburg, PA
National Provider Identifier
1750916243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 2011 Deerfield CMNS
Shippensburg, PA 17257-8541 - Phone
- (717) 681-8331
- Fax
- (866) 312-8121
- NPI assigned
- Mar 5, 2020
- Last updated
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | PA | Primary |
Addresses
Primary practice location
2011 Deerfield CMNS
Shippensburg, PA 17257-8541
Mailing address
2011 Deerfield CMNS
Shippensburg, PA 17257-8541
Phone (717) 681-8331
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": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1750916243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 DEERFIELD CMNS",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172578541",
"telephone_number": "717-681-8331",
"fax_number": "866-312-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 DEERFIELD CMNS",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172578541",
"telephone_number": "717-681-8331",
"fax_number": "866-312-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MIRANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shippensburg, PA
- Wellspan Medical Group (WellSpan Family Medicine - Shippensburg)
- Wellspan Medical Group (WellSpan Parkway Neurosurgery)
- Wellspan Medical Group (WellSpan Orthopedics)
- Wellspan Medical Group (WellSpan Urgent Care)
- Susan West, N.P.
- Sarah L Wilmot, PT
- Douglas Alan Wilson
- Spencer Wolverton, DPM
- John A Yarwood, PA-C
- Martin James Young, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.