Individual provider Active NPI

Miranda High

  • Family Nurse Practitioner
  • Tuttle, OK
National Provider Identifier
1215529078
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220733 Issued in OK
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310001764 TX Practitioner - Nurse Practitioner 8325411499 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220733OKMDFamily Nurse Practitioner
1029225TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hpa Medical Management, LLC CurrentSince Jan 3, 2023 Accepting new patients
Hpa Medical Management, LLC CurrentSince Jan 3, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.