Nicole Mirra, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

803007 Issued in TX

Practice address

15999 City Walk Ste 260
Sugar Land, TX 77479-6607

Phone

(713) 357-1888

NPI assigned

Nov 11, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Rewire Chiropractic and Wellness Center

  • Chiropractor
  • Pearland, TX
  • NPI 1568900017
  NPD (past)
• Sona Dermatology Texas, PA

  • Dermatology Physician
  • Houston, TX
  • NPI 1912487893
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1821461922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 COPPER SKY DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843782",
            "telephone_number": "832-672-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15999 CITY WALK STE 260",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796607",
            "telephone_number": "713-357-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRRA",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "803007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "803007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindful Solution Behavioral Health LLC
• Holly Brooke Minks, FNP
• Mint Physician Staffing
• Miracle EMS Inc
• Miracle Hands Healthcare Services
• Kanwal Mirza, M.D.
• Kiran Mishra, PH.D.
• Patricia Mitchell, MD
• Hari Shankar Mitra, M.D.
• MK & B Groups Inc

• Family Nurse Practitioner in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.