Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Miranda Michelle Van Dam, CSFA
Surgical Assistant in Meridian, ID · enumerated 2021.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1902565682
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Registry record
Entity type Individual (Type 1)
Name Miranda Michelle Van Dam
Credential CSFA
Sex Female
Practice address 500 S. Eagle Rd., Meridian, ID, 83642
Phone (208) 706-8101
Enumeration date Dec 10, 2021
Last updated in NPPES Dec 10, 2021
Taxonomy & licenses
246ZC0007X Surgical Assistant Technologists, Technicians & Other Technical Service Providers · License 205983 (ID) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205983 | Other | ID | NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Miranda Van Dam's NPI record?
Cross-check NPI 1902565682 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1902565682 active?
Yes, as of the latest NPPES snapshot, NPI 1902565682 is active (record last updated 2021-12-10).
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-10.