Individual provider Active NPI

Jane Christine Meyers, ANP

  • Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1215995634
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP104361 Issued in TX
Practice address
1900 SE 34TH Ave
Unit 1800
Amarillo, TX 79118-6783
Phone
(806) 351-7540
Fax
(806) 351-7546
NPI assigned
May 3, 2006
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP104361 TX Primary
Pediatric Nurse Practitioner 363LP0200X 500504 TX

Addresses

Primary practice location

1900 SE 34TH Ave
Unit 1800
Amarillo, TX 79118-6783

Mailing address

5012 US Hwy 75 S,Suite 300
Attn. Billing
Denison, TX 75020
Phone (806) 351-7540

Other identifiers 4

IdentifierTypeStateIssuer
109596003MedicaidTX
109596005MedicaidTX
109596001MedicaidTX
109283MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
500504TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Texas Healthcare System Inc PastSince Feb 22, 2016 Accepting new patients

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1215995634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 US HWY 75 S,SUITE 300",
            "address_2": "ATTN. BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "806-351-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SE 34TH AVE",
            "address_2": "UNIT 1800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791186783",
            "telephone_number": "806-351-7540",
            "fax_number": "806-351-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "JANE",
        "middle_name": "CHRISTINE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP104361",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "500504",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109596003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109596005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109596001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.