Amber Tenille Goldsmith, FNP
Individual provider Active NPI Family Nurse Practitioner · Beaumont, TX
NPI 1093340697 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1093340697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP145373 (TX)
- Practice address
- 4347 Phelan Blvd
Beaumont, TX 77707-2159 - Phone
- (409) 767-9285
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Pca Setx LLC
Practice addresses (Care Compare)
4347 Phelan Blvd
Suite 101
Beaumont, TX 77707-2159
Phone (409) 767-8686
Hospital & facility affiliations
- Accentcare Home Health of Texas
- Harbor Home Health
- Pulse Homecare LTD
- Vitalcaring Group
- Jefferson County Home Health Care Inc
- Northern Louisiana Medical Center
- Christus Southeast Texas- St Elizabeth
- Baptist Beaumont Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201217002536 | TX | Practitioner - Nurse Practitioner | 8123430022 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Anywhere, PLLC | Family | Current |
Accepting new patients |
| Pca Setx LLC | Current |
Accepting new patients |
Locations
4347 Phelan Blvd
Ste 101
Beaumont, TX 77707
Phone (409) 767-8686
4347 Phelan Blvd
Beaumont, TX 77707
Phone (409) 767-9285
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP145373 | TX | Yes |
Addresses
Primary practice location
4347 Phelan Blvd
Beaumont, TX 77707-2159
Mailing address
175 Carla St
Vidor, TX 77662-9184
Phone (409) 782-6733
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Beaumont | Direct |
Other providers in Beaumont, TX
- Golden Triangle Living Centers, Inc.
- Golden Triangle Living Centers, Inc.
- Golden Triangle Neurocare LLP
- Golden Triangle Surg & Vasc Assoc PLLC
- Golden Triangle Surgery Center, LLC
- Jonathon Gomez
- Gaylon Albert Gonzales
- Alyssa Gonzalez
- Fidel Gonzalez
- John Gonzalez
All providers in Beaumont, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.