REBEKKAH MIRANDA AG-ACNP NPI 1497535751

NPI Information

  • NPI: 1497535751
  • Provider Name: REBEKKAH MIRANDA, AG-ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15123 S HEATHER STONE CIR
    DRAPER, UT
    ZIP 84020
  • Phone: (843) 263-4258

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NPI Details

Rebekkah Miranda, AG-ACNP is an acute care nurse practitioner in Draper, UT with 4 years of experience. Rebekkah Miranda, AG-ACNP NPI is 1497535751. 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:

15123 S HEATHER STONE CIR
DRAPER, UT
ZIP 84020-718
Phone: (843) 263-4258

The NPI 1497535751 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2023 and was last updated on 10/4/2023.

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
1363LA2100XNurse PractitionerAcute Care8311663-4405UTAHYes

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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