Individual provider Active NPI

Amanda Killeen, DPM

  • Podiatrist
  • Harlingen, TX
National Provider Identifier
1033668173
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2383 Issued in TX
Practice address
2106 Treasure Hills Blvd # 1.326
Harlingen, TX 78550-8736
Phone
(956) 296-1519
Fax
(956) 296-1331
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2383 TX Primary

Addresses

Primary practice location

2106 Treasure Hills Blvd # 1.326
Harlingen, TX 78550-8736

Mailing address

5323 Harry Hines Blvd # F4.124
Dallas, TX 75390-7208
Phone (214) 648-7284

Other practice location 1

5323 Harry Hines Blvd # F4.310
Dallas, TX 75390-0001
Phone (435) 668-9258

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909002357 TX Practitioner - Podiatry 9032537956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of Texas Rio Grande ValleyGroup PAC ID 3577885276, 83 clinicians

Practice addresses (Care Compare)

2106 Treasure Hills Blvd
Suite 1326
Harlingen, TX 78550-8736
Phone (833) 887-4863

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2020 Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Jul 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Jul 1, 2024 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

1801 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2035

3804 S Jackson Rd
Ste 1
Edinburg, TX 78539
Phone (956) 296-3001

2106 Treasure Hills Blvd
Ste 1326
Harlingen, TX 78550
Phone (956) 296-1519

2106 Treasure Hills Blvd
Ste 1
Harlingen, TX 78550
Phone (956) 296-1519

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

2106 Treasure Hills Blvd
#1326
Harlingen, TX 78550
Phone (956) 296-1519

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

1315 E 6th St
Ste 10
Weslaco, TX 78596
Phone (956) 296-2821

Organizations & group practices 6

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1033668173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD # F4.124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907208",
            "telephone_number": "214-648-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 TREASURE HILLS BLVD # 1.326",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508736",
            "telephone_number": "956-296-1519",
            "fax_number": "956-296-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd # F4.310",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753900001",
            "country_code": "US",
            "telephone_number": "435-668-9258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLEEN",
        "first_name": "AMANDA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.