MRS. JACELYN M MIRANDA (NPI# 1851642201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851642201 |
| Entity Type | Individual |
| Full Name | MRS. JACELYN M MIRANDA |
| Credential | COTA |
| Practice Address |
1156 N Broadway Yonkers NY 10701-1108 |
| Mailing Address |
4131 Boyd Ave Bronx NY 10466-2025 |
| Practice Telephone | 9149653883 |
| Mailing Telephone | 9145736892 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2016-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 008188-1 | NY | Student, Health Care |
| Street Address |
1156 N BROADWAY |
| City | YONKERS |
| State | NY |
| Zip Code | 10701-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144382532 | Alica Auerbach | Counselor | 1156 N Broadway, Andrus Children's Center, Yonkers, NY 10701-1108 | 2006-12-14 |
| 1053928895 | Lillian Serina Spencer | Social Worker | 1156 N Broadway, Yonkers, NY 10701-1108 | 2020-09-25 |
| 1124649090 | Elena Tyson | Student in an Organized Health Care Education/Training Program | 1156 N Broadway, Yonkers, NY 10701-1108 | 2020-05-02 |
| 1962046979 | Jessica Julia Cohen | Social Worker | 1156 N Broadway, Yonkers, NY 10701-1108 | 2019-11-01 |
| 1205486214 | Amira Shleiwet | Occupational Therapy Assistant | 1156 N Broadway, Yonkers, NY 10701-1108 | 2019-09-12 |
| 1417510371 | Katherine Elise Leidel | Social Worker | 1156 N Broadway, Yonkers, NY 10701-1108 | 2019-04-17 |
| 1982164182 | Daniel Watson | Social Worker | 1156 N Broadway, Yonkers, NY 10701-1108 | 2019-03-22 |
| 1831664978 | Marisa Alberico | Speech-Language Pathologist | 1156 N Broadway, Yonkers, NY 10701 | 2018-10-04 |
| 1306320668 | Jana Elise Taylor | Social Worker | 1156 N Broadway, Yonkers, NY 10701-1108 | 2018-09-21 |
| 1891285177 | Joseph James Tarantino II | Psychologist | 1156 N Broadway, Yonkers, NY 10701-1108 | 2018-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
| 1306471412 | Mchealth Nemt LLC | Non-emergency Medical Transport (VAN) | 10 Locust Hill Avenue, Suite 2, Yonkers, NY 10701 | 2020-03-09 |
| 1073150314 | Daniel Owusu-ansah | Registered Nurse | 615 Warburton Ave, Apt 4e, Yonkers, NY 10701 | 2019-12-05 |
| 1447738067 | Britney Hudson | Counselor | 58 Hudson St, Yonkers, NY 10701 | 2018-08-06 |
| 1104320704 | Jonathan Alfred Manley | Specialist | 1 Odell Plaza - Fred S. Keller School, Suite #263, Yonkers, NY 10701 | 2018-03-20 |
| 1841718905 | Tanesha Lyttle | Licensed Practical Nurse | 50 Hewphorne Ave., Yonkers, NY 10701 | 2017-09-08 |
| 1598297715 | Lauren Ramm | Surgery | 967 North Broadway, Medical Education Department, Yonkers, NY 10701 | 2017-03-28 |
| 1063953115 | Gina Bianca Butrico | Early Intervention Provider Agency | 300 Corporate Blvd. South, Yonkers, NY 10701 | 2017-03-09 |
| 1225574551 | Syed Islam | Assistant Behavior Analyst | 6 B Greene Pl., Yonkers, NY 10701 | 2017-01-10 |
| 1306296470 | Rebecca Hill | Physician Assistant | 984 N Broadway Ste 509, Yonkers, NY 10701 | 2016-06-20 |
| Find all providers in zip 10701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215566567 | Kelvin L. Hodges | Student in an Organized Health Care Education/Training Program | 415 S Broadway, Yonkers, NY 10705-2302 | 2020-04-07 |
| 1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
| 1154967313 | Nidhi Chawda | Student in an Organized Health Care Education/Training Program | 3 Sadore Ln Apt 7b, Yonkers, NY 10710-4748 | 2019-11-22 |
| 1881238442 | Joelle Etienne | Student in an Organized Health Care Education/Training Program | 941 Mclean Ave Apt 212, Yonkers, NY 10704-4107 | 2019-11-06 |
| 1588212070 | Jasmine Marin | Student in an Organized Health Care Education/Training Program | 1 Odell Plz Ste 1, Yonkers, NY 10701-1402 | 2019-08-28 |
| 1316503675 | Kohely Paulino | Student in an Organized Health Care Education/Training Program | 117 Saratoga Ave Apt 1s, Yonkers, NY 10705-4000 | 2019-05-13 |
| 1649767187 | Carolyn N Morillo | Student in an Organized Health Care Education/Training Program | 28 Caryl Ave Apt 4a, Yonkers, NY 10705-3930 | 2018-04-19 |
| 1689171746 | Taras Kulynych | Student in an Organized Health Care Education/Training Program | 24 Euclid Ave, Yonkers, NY 10705-4409 | 2018-04-06 |
| 1801318753 | Heather Mazursky-horowitz | Student in an Organized Health Care Education/Training Program | 487 South Broadway, Suite 220, C/o Wjcs, Yonkers, NY 10705-3269 | 2017-07-12 |
| 1508392770 | Maria Mitry | Student in an Organized Health Care Education/Training Program | 125 Rockledge Rd, Yonkers, NY 10708-5204 | 2017-05-10 |
| Find all providers in YONKERS | ||||
Please comment or provide details below to improve the information on MRS. JACELYN M 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.