Individual provider Active NPI

Amy Taylor, FNP-C, AGACNP-BC

  • Family Nurse Practitioner
  • Fredericksburg, TX
National Provider Identifier
1144629734
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126158 Issued in TX
Practice address
1020 Hwy 16
Fredericksburg, TX 78624
Phone
(936) 900-9342
NPI assigned
Aug 19, 2014
Last updated
May 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126158 TX Primary

Addresses

Primary practice location

1020 Hwy 16
Fredericksburg, TX 78624

Mailing address

PO Box 2972
Fredericksburg, TX 78624-1928
Phone (936) 900-9342

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
I20150312001695 TX Practitioner - Nurse Practitioner 1658697552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Jason N. Peet, M.D., P.a.Group PAC ID 9133282718, 2 clinicians

Practice addresses (Care Compare)

110 E Live Oak St
Fredericksburg, TX 78624-4450
Phone (830) 997-5559

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc CurrentSince Mar 11, 2017 Accepting new patients
Dr. Jason N. Peet, M.D., P.a. CurrentSince Jan 7, 2020 Accepting new patients
Longhorn Emergency Medical Associates PA CurrentSince Feb 15, 2015 Accepting new patients
Cibolo Creek Allergy PA CurrentSince Mar 19, 2023 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

3500 Gaston Ave
Dallas, TX 75246

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

110 E Live Oak St
Fredericksburg, TX 78624
Phone (830) 997-4391

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDIFAD/Endpoint/DDIFAD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1144629734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2972",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786241928",
            "telephone_number": "936-900-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HWY 16",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "78624",
            "telephone_number": "936-900-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.