Individual provider Active NPI

Neda Amiry, NP-C

  • Gerontology Nurse Practitioner
  • Shavano Park, TX
National Provider Identifier
1215520960
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN-CNP1033820 Issued in TX
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

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929003574 TX Practitioner - Nurse Practitioner 1759788953 Reassigns benefits to 2 organizations

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
Complete Care Medical AssociatesGroup PAC ID 5698029882, 39 clinicians
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

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 Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154
  • Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-CNP1033820TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Medical Associates CurrentSince Aug 1, 2021 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Dec 1, 2025 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.