Individual provider Active NPI

Melissa Aguirre-Holland, FNP

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1194021253
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
699673 Issued in TX
Practice address
850 Martin Rd
Amarillo, TX 79107-6814
Phone
(806) 374-7341
Fax
(806) 374-0316
NPI assigned
Feb 7, 2011
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 699673 TX Primary
Family Nurse Practitioner 363LF0000X AP120133 TX

Addresses

Primary practice location

850 Martin Rd
Amarillo, TX 79107-6814

Mailing address

6311 S Travis St
Amarillo, TX 79118-7891
Phone (806) 236-1787

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
I20120831000075 TX Practitioner - Nurse Practitioner 0840447504 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
699673TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Medical Specialists,LLP CurrentSince May 4, 2015 Accepting new patients

Locations

1215 S Coulter St
Ste 400
Amarillo, TX 79106
Phone (806) 358-8331

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1194021253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 S TRAVIS ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791187891",
            "telephone_number": "806-236-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MARTIN RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791076814",
            "telephone_number": "806-374-7341",
            "fax_number": "806-374-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE-HOLLAND",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "699673",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.