Amy Sanders

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP138459 Issued in TX

Practice address

621 SW Johnson Ave Ste C
Burleson, TX 76028

Phone

(817) 766-7421

NPI assigned

May 27, 2015

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HECDAD

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.

• Prestige Dermatology of Alliance, PLLC

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1427415314
  Medicare reassignment NPD
• Prestige Dermatology PLLC

  • Dermatology Physician
  • Burleson, TX
  • NPI 1962878843
  Medicare reassignment NPD
• Wellworx Dermatology PLLC

  • Dermatology Physician
  • Frisco, TX
  • NPI 1164244703
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1093194789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KEEWAYDIN DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792839",
            "telephone_number": "800-995-2673",
            "fax_number": "888-979-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SW JOHNSON AVE STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-766-7421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Keewaydin Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030792839",
            "country_code": "US",
            "telephone_number": "800-995-2673",
            "fax_number": "888-979-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP138459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Salas, LPC
• Ada Salazar
• Terry Lynton Sales, PT
• Sams East Inc
• Jessica Sanchez, PHD, LMSW, MED
• Billie Jeanne Sanders, LMT, AMMP, DMT
• Justin Randal Sanders, RN, FNP-BC
• Kristi Rae Sandoval, REGISTERED NURSE
• Bhavani Mysore Satyanarayana, M.D.
• Madapura Satyanarayana, M.D.

• Nurse Practitioner in Burleson, TX
• Providers in Burleson, TX by specialty
• Nurse Practitioner in Texas

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

Verify at the official NPI Registry.