Individual provider Active NPI

Miranda Ring, FNP

  • Family Nurse Practitioner
  • Derby, NY
National Provider Identifier
1962000307
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345507 Issued in NY
Practice address
7060 Erie Rd
Derby, NY 14047-9430
Phone
(716) 947-0408
NPI assigned
Oct 16, 2020
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345507 NY Primary

Addresses

Primary practice location

7060 Erie Rd
Derby, NY 14047-9430

Mailing address

8672 Highland Dr
Eden, NY 14057-9502
Phone (845) 800-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212000459 NY Practitioner - Nurse Practitioner 2365857984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Family Medicine Assoc PC CurrentSince Jan 1, 2021 Accepting new patients
General Physician, PC PastSince Jan 1, 2021 Accepting new patients

Locations

7060 Erie Rd
Derby, NY 14047
Phone (716) 677-2273

7060 Erie Rd
Ste 100
Derby, NY 14047
Phone (716) 947-0408

10626 Main St
North Collins, NY 14111
Phone (716) 337-2422

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1962000307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8672 HIGHLAND DR",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140579502",
            "telephone_number": "845-800-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 ERIE RD",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "140479430",
            "telephone_number": "716-947-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RING",
        "first_name": "MIRANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, NY

Sources for this page

Verify at the official NPI Registry.