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Active NPI 1235622499 Individual Practitioner Female Practitioner

Dr. Miranda Miller , MD

Pediatrics - Developmental - Behavioral Pediatrics • Providence, RI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Miranda Miller, MD is a registered healthcare professional specializing in Pediatrics - Developmental - Behavioral Pediatrics in Providence, RI. Official NPI practice address is registered at 335R PRAIRIE AVE STE 1A.

Practice Location & Contact Primary Location

Practice Address

335r Prairie Ave Ste 1a

Providence, RI 029052426

Telephone 4014445685
Fax 4014446115
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1972768174

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Developmental - Behavioral Pediatrics in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Providence, RI (13 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-20
Pediatrics - Developmental - Behavioral Pediatrics Primary Specialty

NUCC Taxonomy Code: 2080P0006X

State License RI MD20204

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License RI MD20204

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Developmental - Behavioral Pediatrics

NUCC Taxonomy Code: 2080P0006X

State License MA T288742

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Jeannie Dorr , RD

Dietitian, Registered

NPI 1003836131

Registered Dietitian

Eileen Tainsh

Physical Therapist

NPI 1033135579
Jordan Gervasio

Nurse Practitioner - Family

NPI 1063275139
Melissa Medeiros

Physical Therapist

NPI 1164442547
Yana Wember

Psychologist

NPI 1164449187
Dr. Ana Roman Guzman , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1194335414

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location September 20, 2024

Registered at 335R PRAIRIE AVE STE 1A, PROVIDENCE, RI 029052426 (Tel: 4014445685)

📍
Updated Business Mailing Address September 20, 2024

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2024

Pediatrics (License #MD20204 in RI)

📍
Updated Practice Location July 27, 2021

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724 (Tel: 6173556000)

📍
Updated Business Mailing Address July 27, 2021

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724 (Tel: 6173556000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2021

Pediatrics (License #T288742 in MA)

NPI Profile Active June 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2018

Registered at 1215 LEE ST, CHARLOTTESVILLE, VA 229080816 (Tel: 4342436297)

📍
Updated Business Mailing Address June 12, 2018

Registered at 1215 LEE ST BOX 800501, CHARLOTTESVILLE, VA 229080816

👤
Provider Name / Credentials Updated June 12, 2018

Recorded as MIRANDA MILLER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235622499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2018
Last Update: September 20, 2024
Sole Proprietor: No

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.