Individual provider Active NPI

Amy Lee

  • Physician Assistant
  • Pflugerville, TX
National Provider Identifier
1215710033
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1601 E Pflugerville Pkwy Ste 3202
Pflugerville, TX 78660-7349
Phone
(512) 320-5785
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1601 E Pflugerville Pkwy Ste 3202
Pflugerville, TX 78660-7349

Mailing address

1601 E Pflugerville Pkwy Ste 3202
Pflugerville, TX 78660-7349

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
I20230925003422 TX Practitioner - Physician Assistant 6002260015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Physician Assistant CurrentSince Oct 1, 2023 Accepting new patients
Family Care Center LLC, CurrentSince Oct 1, 2023 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

1601 E Pflugerville Pkwy
Ste 3202
Pflugerville, TX 78660
Phone (512) 320-5785

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

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.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1215710033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E PFLUGERVILLE PKWY STE 3202",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E PFLUGERVILLE PKWY STE 3202",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607349",
            "telephone_number": "512-320-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.