Individual provider Active NPI

Arjana Amataj

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1023648680
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1075583 Issued in TX
Practice address
1206 Hawthorne St
Houston, TX 77006-3820
Phone
(346) 319-4803
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 958747 TX
Family Nurse Practitioner 363LF0000X 1075583 TX Primary

Addresses

Primary practice location

1206 Hawthorne St
Houston, TX 77006-3820

Mailing address

5201 Memorial Dr Unit 541
Houston, TX 77007-8405
Phone (832) 477-7242

Other practice location 1

1155 Dairy Ashford Rd Ste 560
Houston, TX 77079-3035
Phone (832) 477-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
958747TXMDRegistered Nurse
1075583TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1023648680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 MEMORIAL DR UNIT 541",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078405",
            "telephone_number": "832-477-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HAWTHORNE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063820",
            "telephone_number": "346-319-4803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Dairy Ashford Rd Ste 560",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770793035",
            "country_code": "US",
            "telephone_number": "832-477-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMATAJ",
        "first_name": "ARJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "958747",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1075583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.