MIRANDA MALLICOAT
NPI 1487309290
Specialist/Technologist, Other - Surgical Assistant in Louisville, KY

Q: What is Miranda Mallicoat's NPI number?

The NPI number for Miranda Mallicoat is 1487309290. It was assigned to this individual provider in the NPPES registry on February 21, 2022.

Q: What is Miranda Mallicoat's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Mallicoat was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 21, 2022

3900 KRESGE WAY STE 51, LOUISVILLE, KY 40207(502) 259-5955 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2022, Feb 21, 2022 (2 updates tracked since 2022).

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About Miranda Mallicoat NPPES

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

MIRANDA MALLICOAT (NPI 1487309290) is an individual surgical assistant in Louisville, Kentucky, licensed in Kentucky (TSA026) and active in the NPI registry since February 2022. She maintains a secondary practice location in New Albany.

NPPES Registry Identity

NPI1487309290

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameMIRANDA MALLICOAT

Location Address3900 KRESGE WAY STE 51Louisville, KY 40207-4683

Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4924 · Fax (502) 489-5750

Phone(502) 259-5955

Sole ProprietorYes

Enumeration DateFebruary 21, 2022

Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration

NPPES CertifiedMarch 9, 2022

✔ NPI 1487309290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in KY · TSA026

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

Also ListedSurgeryTaxonomy 208600000X · License TSA026 (KY)

3900 KRESGE WAY STE 51, Louisville, KY 40207

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Secondary Practice Location 1

Location 11919 State St Ste 250New Albany, IN 47150-6805 · Phone (812) 949-5933

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

NATHANIEL TODNEM MD

Neurological Surgery