MIRANDA TEDDER (NPI# 1023650868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023650868 |
| Entity Type | Individual |
| Full Name | MIRANDA TEDDER |
| Practice Address |
3611 S Reed Rd Ste 214 Kokomo IN 46902-3828 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 7657768700 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71009470A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3611 S REED RD STE 214 |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932755048 | Allison Cardwell | Nurse Practitioner | 3611 S Reed Rd Ste 214, Kokomo, IN 46902-3828 | 2019-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932755048 | Allison Cardwell | Nurse Practitioner | 3611 S Reed Rd Ste 214, Kokomo, IN 46902-3828 | 2019-08-14 |
| 1134400864 | Susan John Moore | Nurse Practitioner | 3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo, IN 46902-3710 | 2011-09-08 |
| 1659526853 | Susan Mcvey Sloss | Nurse Practitioner | 2354 W. Boulevard, Kokomo, IN 46902 | 2008-12-02 |
| 1730335571 | Susan Christine Conner | Nurse Practitioner | 1765 E Lincoln Rd, Kokomo, IN 46902-3993 | 2008-08-12 |
| 1255312914 | Leslie Ann Carter | Nurse Practitioner | 2340 W Sycamore St, Kokomo, IN 46901-4108 | 2005-11-09 |
| 1710593645 | Kasey Nicole Kidd | Nurse Practitioner | 2340 W Sycamore St, Kokomo, IN 46901-4108 | 2020-09-16 |
| 1801408729 | Shirley Patterson | Nurse Practitioner | 3504 S Lafountain St, Kokomo, IN 46902-3803 | 2020-08-21 |
| 1275169534 | Rachel Bridges | Nurse Practitioner | 186 E Southway Blvd, Kokomo, IN 46902-3650 | 2020-03-19 |
| 1982237699 | Elizabeth Ann Fuller | Nurse Practitioner | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2020-02-20 |
| 1174160204 | Kristen Shepherd | Nurse Practitioner | 3510 S Lafountain St, Kokomo, IN 46902-3803 | 2019-12-09 |
| Find all providers in KOKOMO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.