Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Miranda Mungarro

Licensed Practical Nurse β€’ Maumee, OH

Active NPI 1033885017 Individual Practitioner Female Practitioner
Practice location in NPPES

1655 Holland Rd Ste F
Maumee, OH 435371656

Call 8335104357 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1655 Holland Rd Ste F

Maumee, OH 435371656

Telephone 8335104357
Fax 8664602997
Organization at the Same NPPES Address or Phone
Ohio Virtual Academy Facility NPI 1346489622

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Maumee, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Maumee and Ohio

70 active clinicians are listed under Licensed Practical Nurse with a practice address in Maumee, OH (12,846 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maumee

0% of these 70 clinicians have the CMS telehealth indicator.

0% of these 70 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-28
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN.160636.MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

1757 Indian Wood Cir

Maumee, OH 435374009

Phone: 8666886917

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Wendy Brandeberry , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033828389

Advanced Practice Registered Nurse

Joann Carroll , APRN

Nurse Practitioner - Family

NPI 1033569199

Advanced Practice Registered Nurse

Kellie Clay

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043766769
Deidra Combs , PA-C

Physician Assistant

NPI 1033701131

Physician Assistant (Certified)

Stacy Jarrett , APRN

Nurse Practitioner - Family

NPI 1013504588

Advanced Practice Registered Nurse

Alaina Nevels , APRN

Nurse Practitioner - Family

NPI 1013460526

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location May 28, 2025

Registered at 1655 HOLLAND RD STE F, MAUMEE, OH 435371656 (Tel: 8335104357)

πŸ“
Updated Business Mailing Address May 28, 2025

Registered at 4600 MONTGOMERY RD STE 400, CINCINNATI, OH 452122600 (Tel: 8335104357)

🏒
Secondary Practice Location Registered May 28, 2025

Additional practice office at 1757 Indian Wood Cir, Maumee, OH 435374009

πŸ‘€
Provider Name / Credentials Updated May 28, 2025

Recorded as MIRANDA MUNGARRO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2025

Licensed Practical Nurse (license number reported to NPPES: OH LPN.160636.MEDS-IV)

βœ…
NPI Profile Active August 19, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 19, 2021

Registered at 1757 INDIAN WOOD CIR, MAUMEE, OH 435374009 (Tel: 8666886917)

πŸ“
Business Mailing Address (Initial Record) August 19, 2021

Registered at 10019 REISTERSTOWN RD FL 3, OWINGS MILLS, MD 211173902

πŸ‘€
Provider Name / Credentials (Initial Record) August 19, 2021

Recorded as MIRANDA TALL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2021

Licensed Practical Nurse (license number reported to NPPES: OH 160636)

🟒
Initial NPI Registration & Enumeration August 19, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1033885017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2021
Last Update: May 28, 2025
Sole Proprietor: No

Mailing Address

4600 Montgomery Rd Ste 400

Cincinnati, OH 452122600

Phone: 8335104357

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.