Direct Primary Care
NightingaleDirect Care
Personalized, membership-based healthcare focused on wellness, prevention, and curative care.
What We Offer
Our Services
All services require membership
Primary Care
Labs at discounted pricing, in-office procedures such as laceration repair, rapid strep, flu, and COVID-19 testing. Women's health included.
Medications at Cost
Medications are available at cost. Care is tailored to the unique needs of each patient for the best possible outcomes.
Hormone Replacement Therapy
Male and female options — oral, topical, and injectable. Therapy is subject to results of lab testing and physical exam.
I.V. Hydration
Up to two normal saline I.V.'s per month at no additional cost. Supplemental options are available at cost.
Treatment Resistant Depression
REMS certified Spravato center. Members may use insurance for medication with no extra charge for treatment sessions.
Weight Loss Assistance
Comprehensive weight management support with direct access to your clinician for personalized guidance and treatment plans.
Comprehensive Care
Conditions We Treat
We treat and educate patients with a wide range of chronic conditions, including but not limited to:
A Better Way
What is Direct Primary Care?
Think of it like a subscription service for your doctor — similar to Netflix or a gym membership. Instead of paying a fee-for-service every time you walk through the door, you pay a flat monthly fee directly to the physician's office.
In exchange, you get:
Unlimited visits
No copays, no surprise fees — just come in when you need care.
Longer appointments
Often 30–60 minutes instead of a rushed 10-minute visit.
Direct access to your provider
Reach us via text, email, or phone — real access, real care.
Wholesale pricing on labs & meds
Deep discounts on labs and medications passed straight to you.
| Feature | Traditional Insurance-Based | Direct Primary Care |
|---|---|---|
| Typical Visit Length | 10–15 minutes | 30–60 minutes |
| Wait Times | Days or weeks | Same or next-day |
| Billing | Complex; Copays & Deductibles | Flat monthly membership fee |
| Doctor's Focus | Fulfilling insurance requirements | Patient outcomes and wellness |
| Access | Office hours only | Often includes text/email/video |
Simple Pricing
Membership Plans
One flat monthly fee. No copays, no surprise bills, no insurance hassles.
Youth
6 months – 18 years
Adults
Adults
Every membership includes
Specialty Focus
Hypermobile Ehlers-Danlos Syndrome
We take a personal approach to diagnosing and managing hypermobile Ehlers-Danlos syndrome and other connective tissue disorders. Every person's experience with hEDS is unique, so we tailor our care accordingly.
"Every person's experience with hEDS is unique so we tailor our care accordingly."
Specialty Focus
Spravato Treatment
What is Spravato?
Spravato (esketamine) is a prescription nasal spray used for adults with treatment-resistant depression (TRD) or depressive symptoms in adults with major depressive disorder (MDD). It is a derivative of ketamine, but it is specifically formulated and FDA-approved for psychiatric use.
Meet Your Provider
About Us
Catherine Stephanie Miranda
APRN, FNP-BC
Stephanie has been in Primary Care since 2017. She graduated with her RN from Arkansas Tech University in 2012 and worked in Med/Surg and ICU while raising three children, serving in the United States Air Force Reserve, and pursuing her Masters in Family Practice.
She served in the Air Force for 13 years with three deployments, and has enjoyed serving Johnson County throughout her entire nursing career. Outside of the clinic, she loves coaching youth volleyball, teaching Sunday School at Knoxville First Baptist Church, and gardening.
13 Years Air Force
Since 2017 Primary Care
FNP-BC Certified
Common Questions
Frequently Asked
Make a Payment
Securely pay your membership fees or outstanding balances online through our patient portal.
Pay NowGet in Touch
Contact Us
Availability
Daytime & extended hours
Same-day appointments
Direct Access
Phone & telehealth available
Members get direct cell access
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