Amanda Georgie Carlough, CPNP-AC

Primary specialty

Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X

License

1102162 Issued in TX

Practice address

7601 Preston Rd
Plano, TX 75024-3214

Phone

(972) 838-5200

NPI assigned

Dec 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• University of Texas Southwestern Medical Center at Dallas

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1760452767
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1053023432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 MCCUTCHINS DR APT 10110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701829",
            "telephone_number": "972-838-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243214",
            "telephone_number": "972-838-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOUGH",
        "first_name": "AMANDA",
        "middle_name": "GEORGIE",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "TX",
            "license": "1102162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102162",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amanda.carlough@gmail.com",
            "affiliation": "N",
            "address_1": "8951 McCutchins Dr Apt 10110",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750701829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caringrx Pharmacy (WellMeds Plano)
• Natalie Carl
• Lindsey Carletti
• Jamie Carlile, D.D.S
• Kendall Edward Carll II, M.D.
• Lori Ann Carlough, RN
• Alicia Carlson, FNP
• Dennis Jason Carlson, PA-C
• Erin Carlson, LPC
• Laura Elizabeth Carlson, NP-C

• Critical Care Pediatric Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Critical Care Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.