Myranda Jayde Guerrero

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F05190115 Issued in AL

Practice address

1222 Somerville Rd SE
Decatur, AL 35601-4351

Phone

(256) 341-0152

NPI assigned

May 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Miranda Jade McAlpin Former name

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

Practice roles

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

• Decatur General Hospital

  • Psychiatric Hospital Unit
  • Decatur, AL
  • NPI 1326288770
  NPD (past)

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1962068338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HEALEY DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564073",
            "telephone_number": "256-777-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SOMERVILLE RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014351",
            "telephone_number": "256-341-0152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Healey Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357564073",
            "country_code": "US",
            "telephone_number": "256-777-8295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MYRANDA",
        "middle_name": "JAYDE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-11",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F05190115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "MCALPIN",
            "middle_name": "JADE",
            "prefix": "MISS",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dennis W. Griffith, LCSW,ACSW,PIP
• Kari Lyn Griffith, CRNP
• David Daniel Griggs, O.D.
• Growing Together Pediatrics
• Nataly Guadamuz, RBT
• Edward Carter Guice, PHARM.D
• Michelle Leigh Guice, PHARM.D.
• Candace E Guthery, LICSW, PIP
• H H Health System-Morgan LLC
• H H Health System-Morgan LLC

• All providers in Decatur, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.