Miranda Pomije, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

078761 Issued in IA

Practice address

2351 Hudson Road
University of Northern Iowa- Athletic Training
Cedar Falls, IA 50613

Phone

(319) 273-2311

NPI assigned

Jan 13, 2017

Last updated

Jan 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1790221786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 PARKER ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506134627",
            "telephone_number": "952-594-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 HUDSON ROAD",
            "address_2": "UNIVERSITY OF NORTHERN IOWA- ATHLETIC TRAINING",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "50613",
            "telephone_number": "319-273-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMIJE",
        "first_name": "MIRANDA",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "078761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of the Heartland
• Dina Plum, LMSW
• Jenna Podany, PHARMD
• Heidi S Podhajsky, M.A., CCC-SLP
• Martina Pollock
• Abbigail Poor
• Miranda Marie Popham, ARNP
• Potential Counseling & Consultation Services LLC
• Dacey Powell
• Prahl Health&Healing Services, LLC

• Athletic Trainer in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.