MIRANDA ASTRID GREEN MD
NPI 1215541396
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Q: What is Miranda Green's NPI number?

The NPI number for Miranda Green is 1215541396. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Q: What is Miranda Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Green was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 04, 2020PECOS Enrolled

MSC09 5030 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-8244 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, May 16, 2025, Feb 5, 2025 and 3 more (6 updates tracked since 2020).

On this page

About Miranda Astrid Green Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA ASTRID GREEN MD (NPI 1215541396) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2025-0021) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215541396

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMIRANDA ASTRID GREENCredential: MD

Location AddressMSC09 5030 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-2302

Mailing AddressMsc09 5030 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-8244 · Fax (505) 272-4639

Phone(505) 272-8244

Sole ProprietorNo

Enumeration DateSeptember 4, 2020

Last NPPES UpdateJune 24, 20256 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1215541396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NM · RS2025-0021

Definition

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.

MSC09 5030 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Astrid Green Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MONICA JULIANNE GOODMAN MD

Student in an Organized Health Care Education/Training Program