NPIMap

Individual provider Active NPI

Amanda Noelle Worsham, FNP-C

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1144798414
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139263 Issued in TX
Practice address
27352 Dara Springs LN
Spring, TX 77386-4048
Phone
(832) 421-0685
NPI assigned
Nov 5, 2018
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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 AP139263 TX Primary

Addresses

Primary practice location

27352 Dara Springs LN
Spring, TX 77386-4048

Mailing address

27352 Dara Springs LN
Spring, TX 77386-4048
Phone (832) 421-0685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211000845 TX Practitioner - Nurse Practitioner 7012255425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Pain SpecialistsGroup PAC ID 3971830159, 3 clinicians

Practice addresses (Care Compare)

25305 Interstate 45
Spring, TX 77380-3534
Phone (281) 868-7246

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain Specialists CurrentSince May 10, 2024 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cedars Anesthesiology PLLC PastSince Nov 22, 2020 Accepting new patients

Locations

600 Jefferson St
Ste 404
Lafayette, LA 70501

2708 Jefferson Dr
Ste B
Liberty, TX 77575
Phone (281) 868-7246

25311 Interstate 45
Ste C
Spring, TX 77380
Phone (281) 868-7246

25305 Interstate 45
The Woodlands, TX 77380
Phone (281) 868-7246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCJJDD/Endpoint/BCJJDD
  • FHIR API: https://epicproxy.et1326.epichosted.com/FHIRProxy/MHCC/api/FHIR/R4
  • FHIR API: https://api.platform.athenahealth.com/19723/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 7

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1144798414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27352 DARA SPRINGS LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864048",
            "telephone_number": "832-421-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27352 DARA SPRINGS LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864048",
            "telephone_number": "832-421-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSHAM",
        "first_name": "AMANDA",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.