MIRANDA THOMAS (NPI# 1417594599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417594599 |
| Entity Type | Individual |
| Full Name | MIRANDA THOMAS |
| Credential | NP |
| Practice Address |
1590 Freedom Blvd Ste B Florence SC 29505-6071 |
| Mailing Address |
Po Box 602108 Charlotte NC 28260-2108 |
| Practice Telephone | 8436659581 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23133 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090569 | Miranda Thomas | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1356974307 | Miranda Thomas | Behavior Technician | 1045 Kilauea Ave Ste A, Hilo, HI 96720-4291 | 2020-02-18 |
| 1427512318 | Miranda Lynn Thomas | Nurse Practitioner | 11110 Medical Campus Rd Ste 228, Hagerstown, MD 21742-6727 | 2019-01-25 |
| 1629495247 | Miranda Deshawna Thomas | Nurse Practitioner | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 | 2014-03-20 |
| Street Address |
1590 FREEDOM BLVD STE B |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255629275 | Jennifer Christy Patchett | Obstetrics & Gynecology | 1590 Freedom Blvd Ste B, Florence, SC 29505-6071 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322703 | Stephenie Matthews Gordon | Nurse Practitioner | 3037 Waterford Dr, Florence, SC 29501-6383 | 2020-09-26 |
| 1073130829 | Lindsay Humphreys | Nurse Practitioner | 309 Ashwoody Dr, Florence, AL 35633-1700 | 2020-06-28 |
| 1710504568 | Deborah Valentine | Nurse Practitioner | 9331 Highway 157, Florence, AL 35633-4635 | 2020-06-28 |
| 1235755984 | Chasidy Lynn Ward | Nurse Practitioner | 406 Woodland Dr, Florence, SC 29501-5445 | 2020-06-18 |
| 1174146054 | Heather Helmbrecht-vines | Nurse Practitioner | 1631 Corinthian Dr Apt 2023, Florence, KY 41042-7424 | 2020-05-26 |
| 1245850148 | Duran Healthcare Pllc | Nurse Practitioner | 9910 Berberich Dr Unit E, Florence, KY 41042-3220 | 2020-04-21 |
| 1548897788 | Pansi Anil Patel | Nurse Practitioner | 511 Prestwick Dr, Florence, SC 29501-8738 | 2020-03-26 |
| 1245861228 | Chasity Beene | Nurse Practitioner | 2929 Cloverdale Rd Unit D, Florence, AL 35633-1505 | 2020-01-29 |
| 1023649191 | Loreena Ruth Fraboni | Nurse Practitioner | 5880 Co-67, Florence, CO 81226 | 2020-01-28 |
| 1093355430 | Stephen Panosian | Nurse Practitioner | 2612 N Palo Verde Dr, Florence, AZ 85132-6880 | 2020-01-14 |
| Find all providers in FLORENCE | ||||
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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.