Individual provider Active NPI

Amanda Jean Lawrence, PA-C

  • Physician Assistant
  • Magnolia, TX
National Provider Identifier
1124919683
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6022 FM 1488 Rd
Magnolia, TX 77354-2542
Phone
(281) 583-1980
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6022 FM 1488 Rd
Magnolia, TX 77354-2542

Mailing address

6022 FM 1488 Rd
Magnolia, TX 77354-2542
Phone (281) 583-1980

Other practice location 1

25245 Kuykendahl Rd
Tomball, TX 77375-3516
Phone (713) 487-3040

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121004111 TX Practitioner - Physician Assistant 5597257097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5910 FM 1488 Rd
Magnolia, TX 77354-2515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Star Urgent Care, PLLC CurrentSince Oct 10, 2025 Accepting new patients
Star Urgent Care Management Inc PastSince Jul 22, 2025 Accepting new patients

Locations

6022 FM 1488 Rd
Magnolia, TX 77354
Phone (281) 583-1980

25245 Kuykendahl Rd
Tomball, TX 77375
Phone (713) 487-3040

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1124919683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 FM 1488 RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542542",
            "telephone_number": "281-583-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 FM 1488 RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542542",
            "telephone_number": "281-583-1980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25245 Kuykendahl Rd",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773753516",
            "country_code": "US",
            "telephone_number": "713-487-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.