Individual provider Active NPI

Mireya Liss, CNP

  • Family Nurse Practitioner
  • Allen, TX
National Provider Identifier
1033781067
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1047004 Issued in TX
Practice address
333 E Bethany Dr Ste J130
Allen, TX 75002-3826
Phone
(972) 741-0484
NPI assigned
Jul 9, 2021
Last updated
May 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1047004 TX Primary

Addresses

Primary practice location

333 E Bethany Dr Ste J130
Allen, TX 75002-3826

Mailing address

333 E Bethany Dr Ste J130
Allen, TX 75002-3826
Phone (972) 741-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625004861 TX Practitioner - Nurse Practitioner 5890268221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Arcadia
Plano, TX 75023

2158 45TH St
Suite 519
Highland, IN 46322-3742

3939 Hwy 80 E
Suite 455
Mesquite, TX 75150-3355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1047004TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnificent Advanced Aesthetics PLLC CurrentSince Sep 4, 2022 Accepting new patients

Locations

190 E Stacy Rd
Ste 1720
Allen, TX 75002
Phone (972) 375-1381

333 E Bethany Dr
Ste J130
Allen, TX 75002
Phone (972) 741-0484

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1033781067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E BETHANY DR STE J130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023826",
            "telephone_number": "972-741-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E BETHANY DR STE J130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023826",
            "telephone_number": "972-741-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISS",
        "first_name": "MIREYA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.