Individual provider Active NPI

Tatjana Michele Mimes, CPNP

  • Pediatric Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1295376374
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1193553 Issued in TX
Practice address
2813 Smith Ranch Rd
Pearland, TX 77584-5254
Phone
(832) 582-7146
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1193553 TX Primary

Addresses

Primary practice location

2813 Smith Ranch Rd
Pearland, TX 77584-5254

Mailing address

3975 I 49 S Service Rd Ste 201
Opelousas, LA 70570-0775
Phone (337) 407-2795

Other practice location 1

7900 Fannin St Ste 1400
Houston, TX 77054-2950
Phone (832) 582-7146

Other practice location 2

3975 I 49 S Service Rd Ste 201
Opelousas, LA 70570-0775
Phone (337) 407-2795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1193553TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maeville Pediatrics PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et1326.epichosted.com/FHIRProxy/MHCC/api/FHIR/R4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1295376374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 I 49 S SERVICE RD STE 201",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700775",
            "telephone_number": "337-407-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 SMITH RANCH RD",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845254",
            "telephone_number": "832-582-7146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Fannin St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542950",
            "country_code": "US",
            "telephone_number": "832-582-7146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3975 I 49 S Service Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Opelousas",
            "state": "LA",
            "postal_code": "705700775",
            "country_code": "US",
            "telephone_number": "337-407-2795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIMES",
        "first_name": "TATJANA",
        "middle_name": "MICHELE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1193553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.