Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Misty Leann Sides, CPNP-AC

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1477371474

Misty Leann Sides, CPNP-AC is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2024, 2 years ago. Licensed in Florida and Texas.

Years since qualifying
2
Licensed in
FL, TX
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-7770
Fax: (682) 303-0893
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1179271 (TX)
Critical Care Pediatric Nurse Practitioner Taxonomy 363LP0222X · Licence APRN11036871 (FL)

Record details

NPI number1477371474
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedSeptember 30, 2024
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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