Individual provider Active NPI

Mirada Kangah, APRN FNP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1801296926
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127224 Issued in TX
Practice address
6600 Chase Oaks Blvd Ste 150
Plano, TX 75023-2383
Phone
(214) 556-8320
NPI assigned
Aug 26, 2014
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127224 TX Primary
Primary Care Nurse Practitioner 363LP2300X AP127224 TX

Addresses

Primary practice location

6600 Chase Oaks Blvd Ste 150
Plano, TX 75023-2383

Mailing address

7423 Windsor View Dr
Spring, TX 77379-5373
Phone (305) 965-1331

Other practice location 1

144 S Main St
Alpine, UT 84004-1666
Phone (844) 692-9682 ext. 4

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV, IN, OH, MS, TN6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20191113000513 TX Practitioner - Nurse Practitioner 5496187486 Reassigns benefits to 2 organizations
I20221110000805 WV Practitioner - Nurse Practitioner 5496187486 Reassigns benefits to 1 organization
I20250502000449 IN Practitioner - Nurse Practitioner 5496187486 Reassigns benefits to 1 organization
I20250918002437 OH Practitioner - Nurse Practitioner 5496187486 Reassigns benefits to 1 organization
I20251030004672 MS Practitioner - Nurse Practitioner 5496187486 Reassigns benefits to 1 organization
I20251210003773 TN Practitioner - Nurse Practitioner 5496187486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10960 Wilshire Blvd
Suite 406
Los Angeles, CA 90024-3704

8605 Santa Monica Blvd
West Hollywood, CA 90069-4109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Doc LLC CurrentSince Dec 27, 2023 Accepting new patients
Pallicare, Inc Family CurrentSince Feb 25, 2025 Accepting new patients
Easy Health Medical Solutions PC CurrentSince Apr 1, 2025 Accepting new patients
Fast Lab Technologies LLC PastSince Dec 1, 2024 Accepting new patients
Topcare Medical Group Inc PastSince Mar 27, 2022 Accepting new patients

Locations

10960 Wilshire Blvd
Los Angeles, CA 90024

10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024

1180 S Beverly Dr
Ste 700
Los Angeles, CA 90035
Phone (213) 584-2331

8605 Santa Monica Blvd
West Hollywood, CA 90069

52 E Main St
Danville, IN 46122

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

215 Water St
Brooklyn, NY 11201
Phone (917) 503-9404

1 W Winter St
Ste 2000
Delaware, OH 43015

2298 Young Ave
Memphis, TN 38104
Phone (615) 237-2550

6000 Poplar Ave
Memphis, TN 38119
Phone (901) 292-7020

6600 Chase Oaks Blvd
Ste 150
Plano, TX 75023
Phone (214) 432-3268

144 S Main St
Alpine, UT 84004
Phone (801) 815-7342

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1801296926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 WINDSOR VIEW DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795373",
            "telephone_number": "305-965-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 CHASE OAKS BLVD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750232383",
            "telephone_number": "214-556-8320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 S Main St",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "UT",
            "postal_code": "840041666",
            "country_code": "US",
            "telephone_number": "844-692-9682 x4",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANGAH",
        "first_name": "MIRADA",
        "credential": "APRN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127224",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP127224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.