Amy Reeves Bartholomew, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06317 Issued in TX

Practice address

6621 Fannin St
Houston, TX 77030-2303

Phone

(832) 824-1000

NPI assigned

Aug 14, 2007

Last updated

May 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amy Rebecca Reeves Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1215129135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 RUTLAND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084139",
            "telephone_number": "713-839-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302303",
            "telephone_number": "832-824-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "AMY",
        "middle_name": "REEVES",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "PA06317",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "REEVES",
            "middle_name": "REBECCA",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Barthelemy
• Tiffany Natalie Barthelemy, PA
• Stefanie Claire Barthmare
• Bartholdi Health Management (Spring Branch Medical Center Home Health)
• Aisha Takiyah Bartholomew, LCSW
• Jessica Bartholomew
• Venessa C Bartholomew, DC
• Brittnie A Bartlett-Lee, M.D.
• Avion Patricia Bartlett
• Bennett Austin Bartlett

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.