Miranda Michelle Roach, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP145597 Issued in TX

Practice address

11907 Candlewood PL
Montgomery, TX 77356-5427

Phone

(720) 480-3790

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

87.57 of 100Reported as group

Quality

82.69

Improvement activities

40

Cost

81.66

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIBDCA
• FHIR API: https://fhir4.healow.com/fhir/r4/CHCBCA

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

• Pulse Physician Organization PLLC

  • Cardiovascular Disease Physician
  • Huntsville, TX
  • NPI 1073087599
  Medicare reassignment NPD
• Woodrome Medical PA

  • Family Medicine Physician
  • Splendora, TX
  • NPI 1265460919
  Medicare reassignment NPD
• Pulse Healthcare System LLC

  • Cardiovascular Disease Physician
  • Tomball, TX
  • NPI 1609753763
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1184240285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11907 CANDLEWOOD PL",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565427",
            "telephone_number": "720-480-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11907 CANDLEWOOD PL",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565427",
            "telephone_number": "720-480-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "MIRANDA",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Michele Reed, M.A., LPC
• Courtney Reynolds, D.C.
• Desaray Leigh Rich, LMT
• Robin Kathleen Rivers, D.C.
• Kenneth Wayne Roach
• Road to Recovery Wound Care LLC
• Amber Robertson, FNP-C
• Jack Stephen Robinson, MD
• Madison Alise Rodriguez
• Courtney Roebuck, MT-BC

• Family Nurse Practitioner in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.