Amanda B Owens, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3440 Bell St
Suite 122
Amarillo, TX 79109-4142

Phone

(806) 379-9225

Fax

(806) 331-4497

NPI assigned

Jan 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda B Waters Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Amarillo Primary Care PLLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1447761267
  NPD (past)

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1063743029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 BELL ST",
            "address_2": "SUITE 122",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094142",
            "telephone_number": "806-379-9225",
            "fax_number": "806-331-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 BELL ST",
            "address_2": "SUITE 122",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094142",
            "telephone_number": "806-379-9225",
            "fax_number": "806-331-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "AMANDA",
        "middle_name": "B",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WATERS",
            "middle_name": "B",
            "credential": "MPAS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Outreach Health Community Care Services LP
• Outreach Health Community Care Services, L.P.
• Outreach Health Communtiy Care Services
• Outreach Health Services of the Panhandle LLC
• Rebecca Owen, MS, RD, LD
• Kate Robyn Owens, R.N.
• Pablo R. Diaz-Esquivel MD PA
• Brooke Ann Pace, DPT
• John David Pack, MS, LPC, LCDC
• Koley Chance Pack

• Physician Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.