MIRANDA MALLICOAT NPI 1487309290

NPI Information

  • NPI: 1487309290
  • Provider Name: MIRANDA MALLICOAT
  • Classification: Specialist/Technologist, Other - 246ZC0007X
  • Specialization: Surgical Assistant
  • Entity Type: Individual
  • Address: 3900 KRESGE WAY STE 51
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 259-5955

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NPI Details

Miranda Mallicoat is a surgical assistant specialist technologist other in Louisville, KY. The provider is 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. Miranda Mallicoat NPI is 1487309290. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3900 KRESGE WAY STE 51
LOUISVILLE, KY
ZIP 40207-683
Phone: (502) 259-5955

The enumeration date for this NPI number is 2/21/2022 and was last updated on 3/9/2022.

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
1208600000XSurgeryTSA026KENTUCKYNo
2246ZC0007XSpecialist/Technologist, OtherSurgical AssistantTSA026KENTUCKYYes

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: 3/30/2025

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