Individual provider Active NPI

Farrah May Catolico Miran, RN

  • Registered Nurse
  • Tacoma, WA
National Provider Identifier
1760811483
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00149470 Issued in WA
Practice address
13517 5TH Avenue CT S
Tacoma, WA 98444-4711
Phone
(253) 212-3129
NPI assigned
Nov 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00149470 WA Primary

Addresses

Primary practice location

13517 5TH Avenue CT S
Tacoma, WA 98444-4711

Mailing address

13517 5TH Avenue CT S
Tacoma, WA 98444-4711
Phone (253) 212-3129

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00149470WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Providers Inc Current Accepting new patients
Sound Mind Sound Body Nurse Delegation Services, Inc. Registered Nurse Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1760811483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13517 5TH AVENUE CT S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444711",
            "telephone_number": "253-212-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13517 5TH AVENUE CT S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444711",
            "telephone_number": "253-212-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAN",
        "first_name": "FARRAH MAY",
        "middle_name": "CATOLICO",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00149470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.