Active NPI
Miranda Christine Rogers, CPNP
- Pediatric Nurse Practitioner
- Houston, TX
National Provider Identifier
1013325489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP125084
- Practice address
- 18200 Katy Fwy
Houston, TX 77094-1285 - Phone
- (832) 824-5327
- NPI assigned
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP125084 | TX | Primary |
Addresses
Primary practice location
18200 Katy Fwy
Houston, TX 77094-1285
Mailing address
18200 Katy Fwy
Houston, TX 77094-1285
Phone (832) 824-5327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344293101 | Medicaid | TX |
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
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP125084 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1013325489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18200 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770941285",
"telephone_number": "832-824-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18200 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770941285",
"telephone_number": "832-824-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "MIRANDA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP125084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344293101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.