Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kevin Mirandou, FNP-CP

Individual provider Family Nurse Practitioner · NPI 1942826466

Mr. Kevin Mirandou, FNP-CP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2019, 7 years ago. Practices with The Miriam Hospital, a 185-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
7
Licensed in
RI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

180 Corliss St Ste E
Providence, RI 02904-2602
Phone: (401) 793-2928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN02408 (RI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F06200729 (RI)

Record details

NPI number1942826466
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-CP
Sole proprietorYes
NPI enumeratedJune 20, 2020
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Miriam Hospital — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Providence