Misty Leigh Haltom, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

717119 Issued in TX

Practice address

837 Cypress Creek Pkwy
Houston, TX 77090-3423

Phone

(281) 586-3888

Fax

(281) 586-3888

NPI assigned

Jun 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

1960 Physician AssociatesGroup PAC ID 1153611975, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• 1960 Physician Associates

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1215391941
  Medicare reassignment Care Compare group NPD
• East Texas Family Healthcare, PLLC

  • Internal Medicine Physician
  • Jasper, TX
  • NPI 1770754335
  NPD

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1508483397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 CYPRESS CREEK PKWY # 77090",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903423",
            "telephone_number": "281-586-3888",
            "fax_number": "346-299-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 CYPRESS CREEK PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903423",
            "telephone_number": "281-586-3888",
            "fax_number": "281-586-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 N Margaret Ave",
            "address_purpose": "LOCATION",
            "city": "Kirbyville",
            "state": "TX",
            "postal_code": "759561652",
            "country_code": "US",
            "telephone_number": "409-420-0816",
            "fax_number": "409-420-0821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1273 S Peachtree St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TX",
            "postal_code": "759514915",
            "country_code": "US",
            "telephone_number": "409-384-9200",
            "fax_number": "409-384-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "MISTY",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F06202509",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "717119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Halpin, M.D.
• Toy Brando Halsey, D.C.
• Janice Halstead, LCSW
• Halter Inc
• Dale G. Halter, M.D.
• Rodney O. Haltom, PA-C
• Sharon L Halton, MSW, LCSW
• Sharzad Halvaeian, O.D.
• Morgan Leigh Halvorsen, PA-C
• Peter Stanton Halvorson, MD

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.