SUSANNA MIRANDA (NPI# 1831118512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831118512 |
| Entity Type | Individual |
| Full Name | SUSANNA MIRANDA |
| Credential | DNP, APRN, AGNP-C |
| Practice Address |
355 E Erie St Chicago IL 60611 |
| Mailing Address |
355 E Erie St Chicago IL 60611-3167 |
| Practice Telephone | 3122381000 |
| Mailing Telephone | 3122381000 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041-332458 | IL | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209-017775 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 355 E Erie St, Chicago, IL 60611 | 3122381000 |
| Street Address |
355 E ERIE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699767855 | Gayle R Spill | Physical Medicine & Rehabilitation | 355 E Erie St, Chicago, IL 60611-3167 | 2005-08-15 |
| 1790382000 | Caroline M Wildman | Physical Therapist | 355 E Erie St, Chicago, IL 60611-3167 | 2020-10-08 |
| 1124641618 | Erin Christine Taylor | Physical Therapist | 355 E Erie St, Chicago, IL 60611-3167 | 2020-05-19 |
| 1952924482 | Jennifer James | Physical Therapist | 355 E Erie St, Chicago, IL 60611-3167 | 2020-05-19 |
| 1225650971 | Alanna Marie Dyko Wathen | Physical Therapist | 355 E Erie St, Chicago, IL 60611-3167 | 2020-05-15 |
| 1700407632 | Lindsay Hoffman | Physical Therapist | 355 E Erie St, Chicago, IL 60611-3167 | 2020-05-01 |
| 1528689478 | Azalia Elizabeth Gonzalez | Occupational Therapist | 355 E Erie St, Chicago, IL 60611-3167 | 2020-05-01 |
| 1962031393 | Meghan Griffin | Registered Nurse | 355 E Erie St, Chicago, IL 60611-3167 | 2020-04-07 |
| 1023645553 | Muhibb Sadiq | Physical Therapist | 355 E Erie St, Chicago, IL 60611-3167 | 2020-03-25 |
| 1467089920 | Benjamin Kyle Geber Petrie | Student in an Organized Health Care Education/Training Program | 355 E Erie St, Chicago, IL 60611-3167 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| 1780129742 | Darice Linares | Nurse Practitioner | 830 S Wood St, Chicago, IL 60612-4325 | 2016-12-30 |
| 1942262134 | Donna Myers | Nurse Practitioner | 833 W Chicago Ave, #305, Chicago, IL 60622-5449 | 2006-04-04 |
| 1457324311 | Lidia Andruszyn | Nurse Practitioner | 6493 N Northwest Hwy Apt 411, Chicago, IL 60631-1893 | 2006-02-10 |
| 1609499060 | Kelly A Quaine | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-05-20 |
| 1942857081 | Dana Brenneman | Nurse Practitioner | 1740 W Taylor St, Chicago, IL 60612-7232 | 2019-08-22 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on SUSANNA MIRANDA.
| 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.