Individual provider Active NPI

Miranda C Harris, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Baytown, TX
National Provider Identifier
1962954552
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1038873 Issued in TX
Practice address
1001 W Baker Rd Ste 100
Baytown, TX 77521-2385
Phone
(832) 788-3301
NPI assigned
Oct 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 649811 TX
Family Nurse Practitioner 363LF0000X 1038873 TX Primary

Addresses

Primary practice location

1001 W Baker Rd Ste 100
Baytown, TX 77521-2385

Mailing address

1001 W Baker Rd Ste 100
Baytown, TX 77521-2385
Phone (281) 427-6525

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
I20241018003374 TX Practitioner - Nurse Practitioner 5294267985 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
649811TXMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Healthcare Plus, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Health and Wellness Family Practice, PLLC Family PastSince Feb 23, 2025 Accepting new patients

Locations

1001 W Baker Rd
Ste 100
Baytown, TX 77521
Phone (281) 427-6525

Organizations & group practices 2

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": "1477699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1962954552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W BAKER RD STE 100",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212385",
            "telephone_number": "281-427-6525",
            "fax_number": "281-420-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W BAKER RD STE 100",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212385",
            "telephone_number": "832-788-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MIRANDA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-29",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "649811",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1038873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.