Active NPI
Amanda Michelle Ross, FNP-C
- Family Nurse Practitioner
- Texarkana, TX
National Provider Identifier
1083116198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP136674
- Practice address
- 4130 McKnight Rd
Texarkana, TX 75503-0921 - Phone
- (903) 701-4058
- Fax
- (903) 213-9282
- NPI assigned
- Mar 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP136674 | TX | Primary |
Addresses
Primary practice location
4130 McKnight Rd
Texarkana, TX 75503-0921
Mailing address
4130 McKnight Rd
Texarkana, TX 75503-0921
Phone (903) 701-4058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136674 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceed Health Clinic | Current | Accepting new patients |
Locations
3725 Mall Ln
Texarkana, TX 75501
Phone (903) 306-0001
Interoperability endpoints
- https://api.platform.athenahealth.com/6966/brand/1/csg/1/fhir/r4
- amanda.ross.1@20763.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1780277731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1083116198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030921",
"telephone_number": "903-701-4058",
"fax_number": "903-213-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030921",
"telephone_number": "903-701-4058",
"fax_number": "903-213-9282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "AMANDA",
"middle_name": "MICHELLE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP136674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.