MS. MIRANDA F. CRISTALES (NPI# 1508023151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508023151 |
| Entity Type | Individual |
| Full Name | MS. MIRANDA F. CRISTALES |
| Credential | P.A.-C. |
| Practice Address |
4660 S Hagadorn Rd #600 East Lansing MI 48823-5376 |
| Mailing Address |
804 Service Rd A201 East Lansing MI 48824-7015 |
| Practice Telephone | 5172672460 |
| Practice Fax Number | 5178848602 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601005230 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1508023151 | 05 | |
| MI | STATE LICENSE | 5601005230 | 01 |
| Street Address |
4660 S HAGADORN RD #600 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168463 | Harvey Bumpers | Surgery | 4660 S Hagadorn Rd, #600, East Lansing, MI 48823-5376 | 2005-07-21 |
| 1558855262 | Kyle Lamont Allan | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd, East Lansing, MI 48823-5376 | 2018-06-15 |
| 1942752258 | Allison Azamtarrahian | Social Worker | 4660 S Hagadorn Rd, East Lansing, MI 48823 | 2016-11-03 |
| 1831562610 | Kimberley Krummrey | Nurse Practitioner | 4660 S Hagadorn Rd, 405, East Lansing, MI 48823-5376 | 2015-11-03 |
| 1043600430 | Ashley Day | Physician Assistant | 4660 S Hagadorn Rd, #600, East Lansing, MI 48823-5376 | 2015-01-23 |
| 1447653878 | Harper Psychological Plc | Psychologist | 4660 S Hagadorn Rd, Suite 280a, East Lansing, MI 48823-5376 | 2014-09-30 |
| 1760885107 | Sara Czubak | Psychologist | 4660 S Hagadorn Rd, Suite 280a, East Lansing, MI 48823-5376 | 2014-09-30 |
| 1215341599 | Jamie Mueller-smith | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd, Suite 500, East Lansing, MI 48823-5376 | 2014-06-16 |
| 1447660808 | Norton Eye Care Pllc | Optometrist | 4660 S Hagadorn Rd, East Lansing, MI 48823-5376 | 2014-05-06 |
| 1063834869 | International Rehabilitative Sciences Inc. | Durable Medical Equipment & Medical Supplies | 4660 S Hagadorn Rd, Ste 170, East Lansing, MI 48823-5376 | 2014-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336234566 | Lansing Ophthalmology, PC | Physician Assistant | 2001 Coolidge Road, East Lansing, MI 48823 | 2006-10-04 |
| 1922502947 | Amanda Marie Cooper | Physician Assistant | 2900 Hannah Blvd Ste 216, East Lansing, MI 48823 | 2018-03-23 |
| 1851544431 | Deanna M Smith | Physician Assistant | 2001 Coolidge Rd, East Lansing, MI 48823-1378 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
Please comment or provide details below to improve the information on MS. MIRANDA F. CRISTALES.
| 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.