Active NPI
Amarillo Pediatric Clinic, PLLC
- Nurse Practitioner
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- AMARILLO PEDIATRIC CLINIC, PLLC
- Practice address
- 1901 Medi Park Dr
Ste 65
Amarillo, TX 79106-2110 - Phone
- (806) 468-4317
- NPI assigned
- Oct 6, 2015
- Last updated
- Oct 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Leathers, NP
- Title
- Managing Partner
- Phone
- (806) 359-1046
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
1901 Medi Park Dr
Ste 65
Amarillo, TX 79106-2110
Mailing address
1901 Medi Park Dr
Ste 65
Amarillo, TX 79106-2110
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2104921 | Amarillo Pediatric Clinic, PLLC | Certificate of waiver | Nov 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
1901 Medi Park Dr
Ste 65
Amarillo, TX 79106
Phone (806) 468-7611
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Amarillo, TX
- NPI 1043394752
-
- Family Nurse Practitioner
- Amarillo, TX
- NPI 1265085666
-
- Family Nurse Practitioner
- Amarillo, TX
- NPI 1376933010
-
- Nurse Practitioner
- Amarillo, TX
- NPI 1447358569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444089600000",
"number": "1164892956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 MEDI PARK DR",
"address_2": "STE 65",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MEDI PARK DR",
"address_2": "STE 65",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062110",
"telephone_number": "806-468-4317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMARILLO PEDIATRIC CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A",
"authorized_official_last_name": "LEATHERS",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "806-359-1046",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
- Amarillo Pain Associates
- Amarillo Pathology Associates LTD
- Amarillo Pathology Group Clinical LLP
- Amarillo Pathology Group, LLP
- Amarillo Pediatric Associates, PLLC
- Amarillo Pediatric Dentistry and Orthodontics at Town Square PLLC
- Amarillo Pediatric Dentistry and Orthodontics, PLLC (Amarillo Pediatric Dentistry)
- Amarillo Physical Therapy Services Inc
- Amarillo Podiatry, P.a.
- Amarillo Primary Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.