SOTHEA MIRANDA NP NPI 1164191110

NPI Information

  • NPI: 1164191110
  • Provider Name: SOTHEA MIRANDA, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 222 MAIN ST
    WILMINGTON, MA
    ZIP 01887
  • Phone: (978) 658-3377

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NPI Details

Sothea Miranda, NP is a family nurse practitioner in Wilmington, MA. Sothea Miranda, NP NPI is 1164191110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

222 MAIN ST
WILMINGTON, MA
ZIP 01887-341
Phone: (978) 658-3377

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 9/12/2021 and was last updated on 11/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN2276407MASSACHUSETTSYes
2163W00000XRegistered NurseRN2276407MASSACHUSETTSNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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