KENDRA LASONIA MIRANDA PA
NPI 1356422745
Physician Assistant - Surgical in Hartford, CT
About Kendra Lasonia Miranda Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA LASONIA MIRANDA PA (NPI 1356422745) is an individual surgical provider in Hartford, Connecticut, licensed in Connecticut (001495) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kendra Lasonia Miranda Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
HARTFORD, CT 06102
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kendra Miranda's NPI number?
The NPI number for Kendra Miranda is 1356422745. It was assigned to this individual provider in the NPPES registry on October 18, 2006.
Where is Kendra Miranda located?
Kendra Miranda practices at 80 Seymour St Hartford Hospital Surgery Dept - Critical Care, Hartford, CT 06102. The listed phone number is (860) 545-4670.
What is Kendra Miranda's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kendra Miranda enrolled in Medicare?
Yes. Kendra Miranda is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kendra Miranda was last updated on May 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Kendra Lasonia Miranda, PA · NPI 1356422745
Surgical physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1356422745 (Entity type: Individual)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 001495 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 SEYMOUR ST, HARTFORD HOSPITAL SURGERY DEPT - CRITICAL CARE, Hartford, CT 06102-8000
- **Phone:** (860) 545-4670
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 6, 2013
- **Other identifiers:** Medicare ID-Type Unspecified 970001770 (CT); Medicaid 003014958 (CT); Medicare UPIN Q34494 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1356422745) · Data from the CMS NPPES public registry.