MS. MARIA LORETO MIRANDA BRAVO (NPI# 1700245552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700245552 |
| Entity Type | Individual |
| Full Name | MS. MARIA LORETO MIRANDA BRAVO |
| Practice Address |
5500 Knoll North Dr 370 Columbia MD 21045-2370 |
| Mailing Address |
1111 N Charles St Baltimore MD 21201-5505 |
| Practice Telephone | 4108372050 |
| Practice Fax Number | 4102348177 |
| Mailing Telephone | 4108372050 |
| Mailing Fax Number | 4107521374 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC6787 | MD | Behavioral Health & Social Service Providers |
| Street Address |
5500 KNOLL NORTH DR 370 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650891 | Shanita Chase | Family Medicine | 5500 Knoll North Dr, Suite 370, Columbia, MD 21045-2209 | 2005-06-22 |
| 1023621174 | Wendy Strong | Nurse Practitioner | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2020-08-28 |
| 1386209302 | Nasseri Clinic of Arthritic & Rheumatic Diseases, LLC | Internal Medicine | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2019-05-06 |
| 1255807228 | Amber Bokhari | Student in an Organized Health Care Education/Training Program | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2018-10-17 |
| 1164971644 | Lauren Heather Saks | Social Worker | 5500 Knoll North Dr, Suite 370, Columbia, MD 21045-2370 | 2016-09-26 |
| 1033560438 | Lisa M Alley | Specialist/Technologist | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2016-06-27 |
| 1245684547 | One World Healthcare LLC | Internal Medicine | 5500 Knoll North Dr, Suite 220, Columbia, MD 21045-2370 | 2016-04-22 |
| 1598127391 | Glen Burnie Physical Therapy & Sportscare, LLC | Occupational Therapist | 5500 Knoll North Dr, Ste 150, Columbia, MD 21045 | 2016-03-22 |
| 1457717480 | Kimberly Mcgeady | Audiologist | 5500 Knoll North Dr, Suite 320, Columbia, MD 21045-2370 | 2016-01-06 |
| 1063886612 | Balum Imaging LLC | Clinic/Center | 5500 Knoll North Dr, Suite 190, Columbia, MD 21045-2370 | 2015-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1518565928 | Family and Individual Therapeutic Healing LLC | Counselor | 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 | 2020-10-16 |
| 1093321150 | Cynthia Roark | Counselor | 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 | 2020-09-23 |
| 1033722871 | Laine Jones | Counselor | 455 Saint Andrews Rd # Suittec1, Columbia, SC 29210-4486 | 2020-08-30 |
| 1952914988 | Oprah Ingram | Counselor | 9570 Two Notch Rd Ste 8, Columbia, SC 29223-4309 | 2020-08-28 |
| 1093339897 | Bryant Rogers | Counselor | 2 Hempstead Pl, Columbia, SC 29229-7762 | 2020-06-08 |
| 1821627498 | Christi Stewart | Counselor | 1809 Atascadero Dr, Columbia, SC 29206-1413 | 2020-04-06 |
| 1316577299 | Chandra Hope Mossine | Counselor | 2012 Cherry Hill Dr Ste 102b, Columbia, MO 65203-5882 | 2020-01-20 |
| 1871132233 | Patricia Dudley | Counselor | 6659 Buckstone Ct, Columbia, MD 21044-4103 | 2020-01-03 |
| 1871139790 | James Roland Blucher | Counselor | 10545 Jason Ln, Columbia, MD 21044-2212 | 2019-11-26 |
| Find all providers in COLUMBIA | ||||
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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.