Organization Active NPI

Plum LLC

Doing business as Plum Pediatrics

  • Pediatric Nurse Practitioner
  • Midland, TX
National Provider Identifier
1114675253
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
PLUM LLC
Doing business as
Plum Pediatrics
Practice address
807 Tradewinds Blvd
Midland, TX 79706-3163
Phone
(432) 288-8482
NPI assigned
Mar 17, 2022
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Amanda Hughes, DNP, PNP-PCNPI 1912323106
Title
Owner
Phone
(432) 400-7586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NU Primary

Addresses

Primary practice location

807 Tradewinds Blvd
Midland, TX 79706-3163

Mailing address

807 Tradewinds Blvd
Midland, TX 79706-3163
Phone (432) 400-7586

Other names 1

  • Plum Pediatrics Doing business as

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
45D2256915Plum LLC Dba Plum Pediatrics807 Tradewinds Blvd., Midland, TX 79706Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1114675253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 TRADEWINDS BLVD",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797063163",
            "telephone_number": "432-400-7586",
            "fax_number": "432-389-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 TRADEWINDS BLVD",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797063163",
            "telephone_number": "432-288-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-400-7586",
        "authorized_official_credential": "DNP, PNP-PC"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plum Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plum Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.