Active NPI
Myiesha Nacole Mingo-Green
- Clinical Informatics Physician
- Humble, TX
National Provider Identifier
1760275804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Informatics Physician
- License
- 00000000
- Practice address
- 3002 Quail Run Dr
Humble, TX 77396-1856 - Phone
- (281) 846-9860
- NPI assigned
- May 22, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Informatics Physician | 2083C0008X | 00000000 | TX | Primary |
Addresses
Primary practice location
3002 Quail Run Dr
Humble, TX 77396-1856
Mailing address
3002 Quail Run Dr
Humble, TX 77396-1856
Phone (281) 846-9860
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 |
|---|---|---|---|
| 00000000 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1760275804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 QUAIL RUN DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773961856",
"telephone_number": "281-846-9860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 QUAIL RUN DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773961856",
"telephone_number": "281-846-9860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGO-GREEN",
"first_name": "MYIESHA",
"middle_name": "NACOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2083C0008X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Clinical Informatics",
"state": "TX",
"license": "00000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.