Active NPI
Miranda Janucik
- Anatomic Pathology Physician
- Burleson, TX
National Provider Identifier
1467245845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 25628750
- Practice address
- 11801 South Fwy
Burleson, TX 76028-7021 - Phone
- (817) 913-5201
- NPI assigned
- May 27, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 25628750 | WV | Primary |
Addresses
Primary practice location
11801 South Fwy
Burleson, TX 76028-7021
Mailing address
11801 South Fwy
Burleson, TX 76028-7021
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25628750 | WV | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1467245845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11801 SOUTH FWY",
"city": "BURLESON",
"state": "TX",
"postal_code": "760287021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11801 SOUTH FWY",
"city": "BURLESON",
"state": "TX",
"postal_code": "760287021",
"telephone_number": "817-913-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANUCIK",
"first_name": "MIRANDA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "WV",
"license": "25628750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.