Miranda Shea Phillips, APRN-CNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

226288 Issued in AR

Practice address

408 Office Park Dr Ste 3
Bryant, AR 72022-7536

Phone

(501) 847-2835

Fax

(501) 847-3802

NPI assigned

Oct 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcare Express, LLPGroup PAC ID 9739131442, 68 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.

• Healthcare Express, LLP

  • Multi-Specialty Clinic/Center
  • Texarkana, AR
  • NPI 1780029892
  Medicare reassignment Care Compare group
• B&T Advanced Health, PLLC

  • Primary Care Nurse Practitioner
  • Bryant, AR
  • NPI 1568985240
  Medicare reassignment NPD
• Taylor Health and Wellness of Arkansas, PA

  • Primary Care Clinic/Center
  • Bryant, AR
  • NPI 1750123337
  Medicare reassignment NPD
• Healthcare Express, LLP

  • Family Medicine Physician
  • Bryant, AR
  • NPI 1164962171
  NPD
• Healthcare Express, LLP

  • Physical Therapy Clinic/Center
  • Texarkana, TX
  • NPI 1881101996
  NPD
• Southeast Arkansas Five Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1952069759
  NPD (past)

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1619749330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 OFFICE PARK DR STE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227536",
            "telephone_number": "501-847-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 OFFICE PARK DR STE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227536",
            "telephone_number": "501-847-2835",
            "fax_number": "501-847-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MIRANDA",
        "middle_name": "SHEA",
        "name_prefix": "Ms.",
        "credential": "APRN-CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "226288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Nicole Peoples, OTA
• Katherine Mary Perlberg, PT
• Rickey Garfield Perry, D.D.S.
• Catherine Elizabeth Pettus, LCSW
• Desirae Phillips
• Ayanna Pierce
• Melanie Pike, M.C.D., CCC-SLP
• Jacob Bryce Pinkerton, DDS
• Pinnacle Point at Bryant LLC
• Amy A. Pittman, M.D.

• Family Nurse Practitioner in Bryant, AR
• Providers in Bryant, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.