Active NPI
Misha Houston, PA-C
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1629325501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001009182
- Practice address
- 1611 E 7TH St
Charlotte, NC 28204-2411 - Phone
- (704) 970-4106
- NPI assigned
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA12172 | TX | |
| Surgical Physician Assistant | 363AS0400X | AR | ||
| Physician Assistant | 363A00000X | 001009182 | NC | Primary |
Addresses
Primary practice location
1611 E 7TH St
Charlotte, NC 28204-2411
Mailing address
414 Katonah Ave
Charlotte, NC 28208-4320
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001009182 | NC | MD | Physician Assistant |
| PA12172 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Recovery Center, LLC | Past | Accepting new patients | |
| Harmony Recovery Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Charlotte, NC
- NPI 1366931701
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Charlotte, NC
- NPI 1831678812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1629325501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 KATONAH AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282084320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 E 7TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042411",
"telephone_number": "704-970-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "MISHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA12172",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001009182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.