Miranda Charisa Ackerley, LPN IV

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN128915IV Issued in OH

Practice address

5550 Autumn Leaf Dr Apt 7
Dayton, OH 45426-1352

Phone

(937) 409-9709

Fax

(877) 350-2448

NPI assigned

Jul 21, 2009

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1841420106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 AUTUMN LEAF DR APT 7",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261352",
            "telephone_number": "937-409-9709",
            "fax_number": "877-350-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 AUTUMN LEAF DR APT 7",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261352",
            "telephone_number": "937-409-9709",
            "fax_number": "877-350-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERLEY",
        "first_name": "MIRANDA",
        "middle_name": "CHARISA",
        "name_prefix": "Mrs.",
        "credential": "LPN IV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN128915IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Acevedo
• Kamala Acharya, PA
• Taylea Achtermann, LSW
• Ack Home Care LLC
• Ackerley Inc.
• Tyler J Ackerman
• Karley Ann Ackert
• Stephanie E Ackner, M.D.
• Pamela Joyce Acopine, MS RN ACNP
• Lyzandro Acosta

• Licensed Practical Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.