Individual provider Active NPI

Miracle Van-Horne

  • Registered Nurse
  • Duncanville, TX
National Provider Identifier
1609742360
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
817619 Issued in TX
Practice address
1502 Limetree LN
Duncanville, TX 75137-4166
Phone
(469) 254-5689
Fax
(469) 254-5689
NPI assigned
Oct 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 817619 TX Primary

Addresses

Primary practice location

1502 Limetree LN
Duncanville, TX 75137-4166

Mailing address

1502 Limetree LN
Duncanville, TX 75137-4166
Phone (469) 254-5689

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

LicenseStateTypeSpecialty
817619TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1609742360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LIMETREE LN",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751374166",
            "telephone_number": "469-254-5689",
            "fax_number": "469-254-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LIMETREE LN",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751374166",
            "telephone_number": "469-254-5689",
            "fax_number": "469-254-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN-HORNE",
        "first_name": "MIRACLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "817619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.