Active NPI
Shelly Lynn Ann Seth, CWOCN, FNP
- Acute Care Nurse Practitioner
- Amarillo, TX
National Provider Identifier
1073684353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP111914
- Practice address
- 1215 S Coulter St
Suite #301
Amarillo, TX 79106-1758 - Phone
- (806) 355-9741
- Fax
- (806) 356-0045
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 255623 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | AP111914 | TX | Primary |
Addresses
Primary practice location
1215 S Coulter St
Suite #301
Amarillo, TX 79106-1758
Mailing address
PO Box 840026
Dallas, TX 75284-0026
Phone (806) 212-6965
Other practice location 1
1400 S Coulter St
Amarillo, TX 79106-1786
Phone (806) 414-9100
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255623 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients |
Locations
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
1400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 354-5585
1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1871525840
-
- Pharmacy
- Lubbock, TX
- NPI 1609810977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1073684353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840026",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840026",
"telephone_number": "806-212-6965",
"fax_number": "806-212-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S COULTER ST",
"address_2": "SUITE #301",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061758",
"telephone_number": "806-355-9741",
"fax_number": "806-356-0045"
}
],
"practiceLocations": [
{
"address_1": "1400 S Coulter St",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791061786",
"country_code": "US",
"telephone_number": "806-414-9100",
"fax_number": "806-354-5717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SETH",
"first_name": "SHELLY",
"middle_name": "LYNN ANN",
"credential": "CWOCN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "255623",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP111914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.