Active NPI
Amy Lynn Marin, CPNP-PC
- Pediatric Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP132195
- Practice address
- 5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561 - Phone
- (210) 541-8281
- Fax
- (210) 541-9123
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP132195 | TX | Primary |
Addresses
Primary practice location
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Mailing address
5430 Fredericksburg Rd
Suite 508
San Antonio, TX 78229-3539
Phone (210) 541-8281
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magella Medical Associates Billing, Inc. | Current | Accepting new patients |
Locations
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
815 Market St
Galveston, TX 77550
Phone (409) 770-6600
11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501
2700 W Pleasant Run Rd
Ste 220
Lancaster, TX 75146
Phone (888) 871-1883
600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111
10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412
5430 Fredericksburg Rd
Ste 508
San Antonio, TX 78229
Phone (210) 541-8281
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081
5106 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 575-0355
3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000
421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400
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.
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- NPI 1083631071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1124570262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 FREDERICKSBURG RD",
"address_2": "SUITE 508",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293539",
"telephone_number": "210-541-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 FREDERICKSBURG RD STE 508",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293561",
"telephone_number": "210-541-8281",
"fax_number": "210-541-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP132195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.