Individual provider Active NPI

Amanda L Allen, FNP

  • Family Nurse Practitioner
  • Lampasas, TX
National Provider Identifier
1174810089
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
710344 Issued in TX
Practice address
187 PR 4060
Lampasas, TX 76550-4071
Phone
(512) 556-3621
Fax
(512) 556-6594
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 710344 TX Primary

Addresses

Primary practice location

187 PR 4060
Lampasas, TX 76550-4071

Mailing address

207 W Avenue E
Lampasas, TX 76550-1820
Phone (512) 556-3621

Other identifiers 1

IdentifierTypeStateIssuer
286640201MedicaidTX

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
I20111129000284 TX Practitioner - Nurse Practitioner 7416121538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Family Medicine Rural Health Clinics, IncGroup PAC ID 8628308533, 11 clinicians

Practice addresses (Care Compare)

187 PR
Suite 4060
Lampasas, TX 76550-4071
Phone (512) 556-3621

Hospital & facility affiliations

  • Texmed Home Health Inc Home health agency, Killeen, TX, CCN 457922
  • Elara Caring Home health agency, Round Rock, TX, CCN 457661
  • Adventhealth Rollins Brook Hospital, Lampasas, TX, CCN 451323
  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
710344TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Family Medicine Rural Health Clinics, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Adventhealth Family Medicine Rural Health Clinics, Inc. Past Accepting new patients
Adventhealth Family Medicine Rural Health Clinics, Inc. Past Accepting new patients

Locations

2401 Walker Place Blvd
Copperas Cove, TX 76522
Phone (254) 547-5516

187 Private Road 4060
Lampasas, TX 76550
Phone (512) 556-3621

Interoperability endpoints

  • Direct secure messaging: aallen1149533@adventhealth.direct-ci.com
  • Direct secure messaging: amanda.allen@fmc.directbygreenway.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1174810089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W AVENUE E",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765501820",
            "telephone_number": "512-556-3621",
            "fax_number": "512-556-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 PR 4060",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765504071",
            "telephone_number": "512-556-3621",
            "fax_number": "512-556-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "710344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286640201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lampasas, TX

Sources for this page

Verify at the official NPI Registry.