IndividualActive
Miranda Mallicoat
NPI 1487309290 · Surgical Assistant · Louisville, KY
Provider details
- NPI number
- 1487309290
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- TSA026 (KY)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
3900 Kresge Way Ste 51
Louisville, KY 40207-4683
Phone: (502) 259-5955
Street-level locationGet directions
Mailing address
5200 Commerce Crossings Dr Fl 3
Louisville, KY 40229-2182
Additional practice locations (1)
- 1919 State St Ste 250New Albany, IN 47150-6805Phone: (812) 949-5933
Registry dates
- Enumerated
- 2022-02-21
- Last updated
- 2022-03-09
- Certified
- 2022-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.