Active NPI
Neda Amiry, NP-C
- Gerontology Nurse Practitioner
- Shavano Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN-CNP1033820
- Practice address
- 112 Wagon Trail Rd
Shavano Park, TX 78231-1240 - Phone
- (210) 995-2039
- NPI assigned
- Feb 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN-CNP1033820 | TX | Primary |
Addresses
Primary practice location
112 Wagon Trail Rd
Shavano Park, TX 78231-1240
Mailing address
112 Wagon Trail Rd
Shavano Park, TX 78231-1240
Phone (210) 995-2039
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12446 W Ave
Suite 200
San Antonio, TX 78216-2530
Phone (210) 525-1668
1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200
Hospital & facility affiliations
- Methodist Hospital
- Methodist Hospital Stone Oak
- Val Verde Regional Medical Center
- Uvalde Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-CNP1033820 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care Medical Associates | Current | Accepting new patients | |
| Hospital Medicine Services of TX, PLLC | Current | Accepting new patients |
Locations
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
12446 West Ave
Ste 256
San Antonio, TX 78216
12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230
Organizations & group practices 2
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.
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1609350024
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
- Critical Access Hospital
- Uvalde, TX
- NPI 1740288505
-
- General Acute Care Hospital
- Del Rio, TX
- NPI 1104830900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1215520960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 WAGON TRAIL RD",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782311240",
"telephone_number": "210-995-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 WAGON TRAIL RD",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782311240",
"telephone_number": "210-995-2039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIRY",
"first_name": "NEDA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-13",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "APRN-CNP1033820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shavano Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.