Individual provider
TRICIA M MIEDEMA, MD
CMS NPPES lists TRICIA M MIEDEMA as an individual provider record with NPI 1023390507. The current record reports a primary practice location in AFTON, WY and primary taxonomy code 207P00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location901 ADAMS STAFTON, WY 831109621
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
363A00000XAdditional reported taxonomy207P00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- September 12, 2011
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.