Individual provider Active NPI

Miranda L Laxton, APRN-CNP

  • Family Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1316708522
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216284 Issued in OK
Practice address
1521 Baker Rd
Sherman, TX 75090-2409
Phone
(903) 891-1972
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1176397 TX
Family Nurse Practitioner 363LF0000X 216284 OK Primary

Addresses

Primary practice location

1521 Baker Rd
Sherman, TX 75090-2409

Mailing address

108 W Main St
Tishomingo, OK 73460-1723
Phone (580) 774-3548

Other names 1

  • Miranda Germany Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240308001793 OK Practitioner - Nurse Practitioner 0547606832 Reassigns benefits to 1 organization
I20250205001646 TX Practitioner - Nurse Practitioner 0547606832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Health ClinicGroup PAC ID 4082861851, 4 clinicians

Practice addresses (Care Compare)

1521 Baker Rd
Sherman, TX 75090-2409
Phone (903) 891-1972

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216284OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your Health Clinic CurrentSince Oct 22, 2024 Accepting new patients
Elite Integral Staffing LLC CurrentSince Sep 1, 2024 Accepting new patients
Gene W Voskuhl, MD, PA PastSince Oct 22, 2024 Accepting new patients

Locations

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1521 Baker Rd
Sherman, TX 75090
Phone (903) 891-1972

Interoperability endpoints

  • Direct secure messaging: laxton.miranda.001.0360056@msm.meditab.direct-ci.com

Organizations & group practices 3

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1316708522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734601723",
            "telephone_number": "580-774-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 BAKER RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902409",
            "telephone_number": "903-891-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAXTON",
        "first_name": "MIRANDA",
        "middle_name": "L",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1176397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "216284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "GERMANY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.