NPI Record of MARGARITA MIRANDA NPI 1063867752

Counselor (Mental Health) in Philadelphia, PA

Complete NPI Record

Field Name Value Definition
NPI1063867752The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code1Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal NameMIRANDAThe last name of the provider. If the provider is an individual, this is the legal name.
Provider First NameMARGARITAThe first name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address1401 S 31ST ST FL 2The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NamePHILADELPHIAThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NamePAThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code191463506The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number2159252400The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number2159259162The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address4510 FRANKFORD AVEThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NamePHILADELPHIAThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NamePAThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code191243602The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number2157441302The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2157442544The fax number associated with the location address of the provider being identified.
Provider Enumeration Date4/30/2016The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date10/1/2019The date that a record was last updated or changed.
Provider Gender CodeFThe code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1101YM0800XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1Y
Is Sole ProprietorNCode indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No