Misti Renay Zotz, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Paradise, TX
NPI 1063142156 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1063142156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1075841 (TX)
- Practice address
- 4676 FM 2123
Paradise, TX 76073-4677 - Phone
- (940) 636-8186
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSW Geode Clinicians of Texas PLLC | Current |
Accepting new patients |
Locations
610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263
768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1075841 | TX | Yes |
Addresses
Primary practice location
4676 FM 2123
Paradise, TX 76073-4677
Mailing address
4676 FM 2123
Paradise, TX 76073-4677
Phone (940) 636-8186
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | misti.zotz@geodehealth.com | Direct |
Other providers in Paradise, TX
- S Squared Assisting, LLC
- Sandra Simmons Madland
- Christopher J Stegman
- Andrea Catherine Strempke
- Rayma Young
All providers in Paradise, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.