Individual provider Active NPI

Amanda Cantu, APRN

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1184238735
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1009245 Issued in TX
Practice address
1650 Round Rock Ave Ste 200
Round Rock, TX 78681-4082
Phone
(737) 443-5230
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 1009245 TX Primary

Addresses

Primary practice location

1650 Round Rock Ave Ste 200
Round Rock, TX 78681-4082

Mailing address

1650 Round Rock Ave Ste 200
Round Rock, TX 78681-4082

Other names 1

  • Amanda Kanski Former name

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
I20210216002094 TX Practitioner - Nurse Practitioner 7416362967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

720 W 34TH St
Suite 104
Austin, TX 78705-1205
Phone (512) 261-4800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Geriatric Specialists, PLLC CurrentSince Jan 18, 2021 Accepting new patients
Innovative Infusions, LLC CurrentSince Oct 26, 2021 Accepting new patients
Innovative Infusions, LLC CurrentSince Oct 26, 2021 Accepting new patients
Hni Medical Services PastSince Jan 18, 2021 Accepting new patients

Locations

1108 Lavaca St
Ste 110320
Austin, TX 78701
Phone (512) 482-0390

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915

844 Kohlers Xing
Ste 230
Kyle, TX 78640
Phone (737) 404-3926

1650 Round Rock Ave
Ste 200
Round Rock, TX 78681
Phone (737) 443-5230

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1184238735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ROUND ROCK AVE STE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ROUND ROCK AVE STE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814082",
            "telephone_number": "737-443-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "AMANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1009245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KANSKI",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.