IndividualActive
Kathleen Mira
NPI 1104757012 · Health & Wellness Coach · San Rafael, CA
Kathleen Mira is a Health & Wellness Coach provider in San Rafael, CA (NPI 1104757012).
Provider details
- NPI number
- 1104757012
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Las Gallinas Ave
San Rafael, CA 94903-1843
Phone: (415) 491-6616
Street-level locationGet directions
Mailing address
1111 Las Gallinas Ave
Petaluma, CA 94954-5421
Registry dates
- Enumerated
- 2026-05-28
- Last updated
- 2026-05-28
- Certified
- 2026-05-19
Frequently asked questions
- What is Kathleen Mira's NPI number?
- Kathleen Mira's National Provider Identifier (NPI) is 1104757012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathleen Mira's specialty?
- Kathleen Mira is listed in the NPPES registry with a primary specialty of Health & Wellness Coach (Other Service Providers).
- Where is Kathleen Mira located?
- Kathleen Mira's practice location on file with NPPES is 1111 Las Gallinas Ave, San Rafael, CA 94903-1843.
- What is Kathleen Mira's phone number?
- The practice phone number listed in the NPPES registry for Kathleen Mira is (415) 491-6616.
- Is Kathleen Mira's NPI active?
- Yes — Kathleen Mira's NPI (1104757012) is active in the NPPES registry as of the last update on 2026-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.