Miranda Anspach, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D-1113 Issued in ID

Practice address

2909 N 4TH St Apt 16
Coeur D Alene, ID 83815-6031

Phone

(208) 310-3136

NPI assigned

Dec 13, 2020

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

Electronic endpoints 1

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": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1871189902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 N 4TH ST APT 16",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838156031",
            "telephone_number": "208-310-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 N 4TH ST APT 16",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838156031",
            "telephone_number": "208-310-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSPACH",
        "first_name": "MIRANDA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "miranda.rivers0519@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1115 Sprenger Rd",
            "city": "Genesee",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838329653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeremy E Andres, PT
• Donna Louise Andrews
• Melissa Androsov, DC
• Anesthesia Associates of Coeur D Alene PLLC
• Genita Angel
• Vanessa Renee Anstine, MED., LCPC, NCC, DCC
• Barbara Aparicio
• Maria Isabel Aparicio, ATC, LAT
• Lauren Elizabeth Apgar, DO
• Victoria Appelbaum

• All providers in Coeur D Alene, ID
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.