Individual provider Active NPI

Amanda Suzanne Patton, FNP

  • Family Nurse Practitioner
  • Boerne, TX
National Provider Identifier
1043818776
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029690 Issued in TX
Practice address
1102 River Rd
Boerne, TX 78006-2436
Phone
(210) 387-6809
NPI assigned
Oct 14, 2020
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 1029690 TX Primary

Addresses

Primary practice location

1102 River Rd
Boerne, TX 78006-2436

Mailing address

715 Winding River LN
Spring Branch, TX 78070-5785
Phone (210) 387-6809

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apatton@tapestryhealth.com Direct

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
I20220616002093 TX Practitioner - Nurse Practitioner 4688053911 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tapestry Telehealth PLLC CurrentSince Mar 10, 2022 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

3106 Bob Rogers Dr
#R
Eagle Pass, TX 78852

10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1043818776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 WINDING RIVER LN",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705785",
            "telephone_number": "210-387-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 RIVER RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062436",
            "telephone_number": "210-387-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "AMANDA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apatton@tapestryhealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1102 River Rd",
            "city": "Boerne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780062436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.