Miranova Health PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MIRANOVA HEALTH PLLC

Practice address

715 9TH Ave
Seattle, WA 98104-2066

Phone

(206) 902-4582

Fax

(206) 902-4159

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Emily Nancy Hanson, MDNPI 1255597035

Title

Medical Director

Phone

(952) 240-4258

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Nancy Hanson, M.D.

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1255597035
  NPD Authorized official
• Elisa R Lombard, ARNP

  • Adult Health Nurse Practitioner
  • Redmond, WA
  • NPI 1780849935
  NPD
• Ann Pedack

  • Adult Health Nurse Practitioner
  • Seattle, WA
  • NPI 1215337399
  NPD
• Lidia Wiersum

  • Gerontology Nurse Practitioner
  • Issaquah, WA
  • NPI 1558605071
  NPD

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1932730447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21249",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981113249",
            "telephone_number": "206-902-4582",
            "fax_number": "206-902-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042066",
            "telephone_number": "206-902-4582",
            "fax_number": "206-902-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANOVA HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "NANCY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-240-4258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Anne Hillel Miovic, PSY.D.
• Shaima Mir
• Mirabella
• Joseph Miraflor, PROVIDER
• Suzette Genevieve Miranda, M.D.
• Mark Edward Mirante, MA, LMFT
• Karina Mirchandani
• Amina Abdi Mire
• Najma Abdikarim Mire
• Lillian Mireles, MD

• Geriatric Medicine (Internal Medicine) Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.