Active NPI
Miranda High
- Family Nurse Practitioner
- Tuttle, OK
National Provider Identifier
1215529078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 220733
- Practice address
- 632 Wildwood Dr
Tuttle, OK 73089-8568 - Phone
- (405) 294-3522
- Fax
- (501) 904-8783
- NPI assigned
- Feb 3, 2021
- Last updated
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 220733 | OK | Primary |
Addresses
Primary practice location
632 Wildwood Dr
Tuttle, OK 73089-8568
Mailing address
2724 Busheywood Dr
Yukon, OK 73099-9755
Phone (405) 294-3522
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220733 | OK | MD | Family Nurse Practitioner |
| 1029225 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hpa Medical Management, LLC | Current | Accepting new patients | |
| Hpa Medical Management, LLC | Current | Accepting new patients | |
| Halohealth Mobile Urgent Care | Past | Accepting new patients | |
| Matthew T Draelos MD PC | Past | Accepting new patients |
Locations
6303 Cowboys Way
Ste 600
Frisco, TX 75034
3201 Cherry Ridge Dr
Ste C313
San Antonio, TX 78230
Phone (210) 444-2244
Interoperability endpoints
- mhigh521314@direct.integrisok.com
Organizations & group practices 4
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.
-
dba Alamo Supportive Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- San Antonio, TX
- NPI 1003383050
-
dba Hospice of Virginia Supportive Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- Richmond, VA
- NPI 1912658774
-
- Nurse Practitioner
- Tuttle, OK
- NPI 1073466595
-
- Endocrinology, Diabetes & Metabolism Physician
- Edmond, OK
- NPI 1821267717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1215529078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 BUSHEYWOOD DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730999755",
"telephone_number": "405-294-3522",
"fax_number": "501-904-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 WILDWOOD DR",
"city": "TUTTLE",
"state": "OK",
"postal_code": "730898568",
"telephone_number": "405-294-3522",
"fax_number": "501-904-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGH",
"first_name": "MIRANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "220733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuttle, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.