Active NPI
Tatjana Michele Mimes, CPNP
- Pediatric Nurse Practitioner
- Pearland, TX
National Provider Identifier
1295376374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1193553
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1193553 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maeville Pediatrics PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Pearland, TX
- NPI 1780344358
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.