Individual provider Active NPI

Misti Liden, FNP-C

  • Family Nurse Practitioner
  • Temple, TX
National Provider Identifier
1003238353
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055550 Issued in TX
Practice address
201 Clinite Grove Blvd Ste 130
Temple, TX 76502-2354
Phone
(254) 314-8699
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F1113015 TX
Family Nurse Practitioner 363LF0000X APN0000018106 TN
Family Nurse Practitioner 363LF0000X CNP-02392 NM
Family Nurse Practitioner 363LF0000X 1055550 TX Primary

Addresses

Primary practice location

201 Clinite Grove Blvd Ste 130
Temple, TX 76502-2354

Mailing address

201 Clinite Grove Blvd Ste 130
Temple, TX 76502-2354
Phone (254) 314-8699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1113015TXMDNurse Practitioner
CNP-02392NMMDFamily Nurse Practitioner
APN0000018106TNMDFamily Nurse Practitioner
1055550TXMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1003238353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CLINITE GROVE BLVD STE 130",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022354",
            "telephone_number": "254-314-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CLINITE GROVE BLVD STE 130",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022354",
            "telephone_number": "254-314-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDEN",
        "first_name": "MISTI",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F1113015",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000018106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02392",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.