Magnificent Advanced Aesthetics PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MAGNIFICENT ADVANCED AESTHETICS PLLC

Doing business as

Magnificent Advanced Aesthetics PLLC

Practice address

333 E Bethany Dr Ste J130
Allen, TX 75002-3826

Phone

(972) 741-0484

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Mireya Liss, NPNPI 1033781067

Title

Ceo

Phone

(972) 741-0484

Specialties & licenses 1

Addresses

Other names 1

• Magnificent Advanced Aesthetics PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mireya Liss, CNP

  • Family Nurse Practitioner
  • Allen, TX
  • NPI 1033781067
  NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1790417541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E BETHANY DR STE J130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023826",
            "telephone_number": "972-741-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E BETHANY DR STE J130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023826",
            "telephone_number": "972-741-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICENT ADVANCED AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "LISS",
        "authorized_official_first_name": "MIREYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-741-0484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnificent Advanced Aesthetics PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnificent Advanced Aesthetics PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yamini K Maddala, M.D.
• Maddox Services LLC (North Texas Pediatric Therapy)
• Jasmine Renee Madrid, LPC - ASSOCIATE
• Andrea Magee, M.P.T.
• Jennifer Magee
• Caitlin Magnuson, CCC-SLP
• Sarah Magocha
• Manasi Mahadevkar, PT
• Uma A Maheshwari
• James Clay Mainord, AUD, CCC-A

• Primary Care Nurse Practitioner in Allen, TX
• Providers in Allen, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.