Individual provider Active NPI

Amber Renae Prosper, RN,FNP

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1033761291
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142018 Issued in TX
Practice address
29214 Quinn Rd
Tomball, TX 77375-4486
Phone
(281) 351-4208
Fax
(281) 351-5417
NPI assigned
Jul 9, 2019
Last updated
Jul 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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 AP142018 TX Primary

Addresses

Primary practice location

29214 Quinn Rd
Tomball, TX 77375-4486

Mailing address

29214 Quinn Rd
Tomball, TX 77375-4486
Phone (281) 351-4208

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201109001149 TX Order and Referring Only - Nurse Practitioner 8527478296

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: amber.prosper@tomballfamilicare.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICDJAA/Endpoint/ICDJAA

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1033761291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29214 QUINN RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754486",
            "telephone_number": "281-351-4208",
            "fax_number": "281-351-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29214 QUINN RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754486",
            "telephone_number": "281-351-4208",
            "fax_number": "281-351-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSPER",
        "first_name": "AMBER",
        "middle_name": "RENAE",
        "credential": "RN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.