Organization Active NPI

Premier Plus Pediatrics, PLLC

  • Pediatric Nurse Practitioner
  • Seguin, TX
National Provider Identifier
1093310344
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
PREMIER PLUS PEDIATRICS, PLLC
Practice address
1414 E Walnut St
Seguin, TX 78155-5175
Phone
(830) 491-5019
Fax
(830) 491-5109
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Authorized official

Name
Amy Long, DNP, APRN, CPNP-PCNPI 1376823724
Title
Nurse Practioner
Phone
(830) 491-5019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X Primary

Addresses

Primary practice location

1414 E Walnut St
Seguin, TX 78155-5175

Mailing address

1414 E Walnut St
Seguin, TX 78155-5175
Phone (830) 491-5019

Other practice location 1

427 Bluebonnet Rd Ste 100
LA Vernia, TX 78121-5044
Phone (830) 217-0129

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2214712Premier Plus Pediatrics, PLLC1414 E Walnut, Seguin, TX 78155Certificate of waiverFeb 23, 2027
45D2325658Premier Plus Pediatrics, PLLC427 Bluebonnet Rd BLDG a Ste # 100, La Vernia, TX 78121Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory

Locations

427 Bluebonnet Rd
Ste 100
La Vernia, TX 78121
Phone (830) 217-0129

427 Bluebonnet Rd
La Vernia, TX 78121

5404 FM 1044
New Braunfels, TX 78130

1414 E Walnut St
Seguin, TX 78155
Phone (830) 379-0299

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1093310344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E WALNUT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555175",
            "telephone_number": "830-491-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E WALNUT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555175",
            "telephone_number": "830-491-5019",
            "fax_number": "830-491-5109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 Bluebonnet Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "LA Vernia",
            "state": "TX",
            "postal_code": "781215044",
            "country_code": "US",
            "telephone_number": "830-217-0129",
            "fax_number": "830-239-8428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER PLUS PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "830-491-5019",
        "authorized_official_credential": "DNP, APRN, CPNP-PC"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.