Individual provider Active NPI

Miriam Segura Lowery, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longview, TX
National Provider Identifier
1952158263
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1159437 Issued in TX
Practice address
3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone
(903) 200-1433
Fax
(903) 405-4047
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1159437 TX Primary

Addresses

Primary practice location

3118 H G Mosley Pkwy
Longview, TX 75605-2941

Mailing address

126 Karabeth LN
Hallsville, TX 75650-4119
Phone (903) 241-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241011001012 TX Practitioner - Nurse Practitioner 7012448459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Senior Psychcare of Dallas I PLLCGroup PAC ID 2466625371, 46 clinicians
Kranz Psychological Services PLLCGroup PAC ID 6901189117, 6 clinicians

Practice addresses (Care Compare)

1026 E Goode St
Quitman, TX 75783-1641
Phone (903) 763-2284

3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone (903) 200-1433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1159437TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kranz Psychological Services, PLLC CurrentSince Sep 23, 2024 Accepting new patients
Counseling Services, PLLC CurrentSince Aug 19, 2025 Accepting new patients
Senior Psychcare of Dallas I, PLLC Psychiatric/Mental Health CurrentSince Dec 4, 2024 Accepting new patients
34HHA, Inc PastSince May 1, 2024 Accepting new patients
East Texas PHC, LLC PastSince Aug 4, 2024 Accepting new patients

Locations

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

840 N Beaulah St
Hawkins, TX 75765
Phone (903) 769-9105

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

3118 H G Mosley Pkwy
Longview, TX 75605
Phone (903) 200-1433

4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335

1026 E Goode St
Quitman, TX 75783
Phone (903) 763-2284

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1952158263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 KARABETH LN",
            "city": "HALLSVILLE",
            "state": "TX",
            "postal_code": "756504119",
            "telephone_number": "903-241-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052941",
            "telephone_number": "903-200-1433",
            "fax_number": "903-405-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "MIRIAM",
        "middle_name": "SEGURA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1159437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.