Active NPI
Amanda Carson
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1124668744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP144187
- Practice address
- 3131 Eastside St Ste 200
Houston, TX 77098-1919 - Phone
- (866) 647-5534
- NPI assigned
- Jan 11, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP144187 | TX | Primary |
Addresses
Primary practice location
3131 Eastside St Ste 200
Houston, TX 77098-1919
Mailing address
PO Box 130593
Spring, TX 77393-0593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578700800000",
"number": "1124668744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130593",
"city": "SPRING",
"state": "TX",
"postal_code": "773930593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 EASTSIDE ST STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770981919",
"telephone_number": "866-647-5534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-11",
"last_updated": "2020-01-11",
"certification_date": "2020-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP144187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.