Individual provider Active NPI

Mireya Herrera, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1972345395
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
308444 Issued in AZ
Practice address
2402 W Kathleen Rd
Phoenix, AZ 85023-4121
Phone
(602) 321-2149
NPI assigned
Jun 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 308444 AZ Primary

Addresses

Primary practice location

2402 W Kathleen Rd
Phoenix, AZ 85023-4121

Mailing address

2402 W Kathleen Rd
Phoenix, AZ 85023-4121
Phone (602) 321-2149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1345 E Main St
Suite 100
Mesa, AZ 85203-8950

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Kids Pediatrics P.C. Family Current Accepting new patients

Locations

1033 N Arizona Ave
Chandler, AZ 85225
Phone (480) 300-4741

6710 W Camelback Rd
Ste A
Glendale, AZ 85303

1345 E Main St
Ste 103
Mesa, AZ 85203
Phone (480) 223-0290

1345 E Main St
Ste 104
Mesa, AZ 85203
Phone (480) 300-4741

1157 S Crismon Rd
Unit 102
Mesa, AZ 85208

825 W Southern Ave
Ste 106
Phoenix, AZ 85041
Phone (602) 243-3429

3415 W Glendale Ave
Ste 32A
Phoenix, AZ 85051
Phone (602) 246-7462

1311 E Thomas Rd
Phoenix, AZ 85014
Phone (602) 322-1315

2033 E Warner Rd
Ste 109
Tempe, AZ 85284
Phone (480) 820-5525

Organizations & group practices 1

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": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1972345395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W KATHLEEN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234121",
            "telephone_number": "602-321-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W KATHLEEN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234121",
            "telephone_number": "602-321-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "MIREYA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "308444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.