Active NPI
Mia Evans, APRN
- Critical Care Neonatal Nurse Practitioner
- Flower Mound, TX
National Provider Identifier
1922294131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 144823
- Practice address
- 4400 Long Prairie Rd
Flower Mound, TX 75028-1892 - Phone
- (214) 343-6663
- Fax
- (214) 343-2814
- NPI assigned
- Sep 20, 2007
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 0991890-NP | CO | |
| Registered Nurse | 163W00000X | 182138 | CO | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 144823 | TX | Primary |
Addresses
Primary practice location
4400 Long Prairie Rd
Flower Mound, TX 75028-1892
Mailing address
1121 E Spring Creek Pkwy
Ste. 110 - #319
Plano, TX 75074
Phone (214) 343-6663
Other names 1
- Mia Redwine
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 |
|---|---|---|---|
| 182138 | CO | MD | Registered Nurse |
| 0991890-NP | CO | MD | Neonatal Nurse Practitioner |
| 144823 | TX | MD | Critical Care Neonatal Nurse Practitioner |
Interoperability endpoints
- mevans1617086@direct.texashealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1922294131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 E SPRING CREEK PKWY",
"address_2": "STE. 110 - #319",
"city": "PLANO",
"state": "TX",
"postal_code": "75074",
"telephone_number": "214-343-6663",
"fax_number": "214-343-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 LONG PRAIRIE RD",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281892",
"telephone_number": "214-343-6663",
"fax_number": "214-343-2814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MIA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CO",
"license": "0991890-NP",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "182138",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "TX",
"license": "144823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIA",
"last_name": "REDWINE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.