Miranda D Sauceda

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Practice address

502 West Sturdivant
Advance, MO 63730-0137

Phone

(573) 722-9191

Fax

(573) 722-9393

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haven Health Cares

  • Rural Health Clinic/Center
  • Advance, MO
  • NPI 1346356177
  Authorized official Same address or phone
• Haven Health Care Medical Clinic, Inc

  • Rural Health Clinic/Center
  • Advance, MO
  • NPI 1336278365
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1952582223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WEST STURDIVANT",
            "address_2": "PO BOX 137",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "637300137",
            "telephone_number": "573-722-9191",
            "fax_number": "573-722-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WEST STURDIVANT",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "637300137",
            "telephone_number": "573-722-9191",
            "fax_number": "573-722-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDA",
        "first_name": "MIRANDA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell Dewayne Meador Sr.
• N & R of Advance, Inc. (Advance Nursing Center)
• Phelps in-Home Care, LLC
• Shawna A. Read, MA, CCC-SLP
• Mary Diane Reeves, TEACHER CERTIFICATE
• Meredith Scherer, MCD, CCC-SLP
• Michele M Thompson

• Clinic/Center in Advance, MO
• Providers in Advance, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.