Individual provider Active NPI

Amy Diane Warrington, FNP

  • Family Nurse Practitioner
  • Grapevine, TX
National Provider Identifier
1245230473
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113271 Issued in TX
Practice address
2355 E Grapevine Mills Cir
Grapevine, TX 76051-2047
Phone
(972) 539-6330
Fax
(972) 539-3077
NPI assigned
Jul 29, 2005
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP113271 TX Primary
Registered Nurse 163W00000X 666203 TX

Addresses

Primary practice location

2355 E Grapevine Mills Cir
Grapevine, TX 76051-2047

Mailing address

PO Box 9101
Coppell, TX 75019-9494
Phone (972) 745-7500

Other identifiers 1

IdentifierTypeStateIssuer
167874001MedicaidTX

Other names 1

  • Amy D Mallory Former name

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
I20041006001368 TX Practitioner - Nurse Practitioner 4981663812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Three Oaks Palliative Care PLLCGroup PAC ID 7719308592, 10 clinicians

Practice addresses (Care Compare)

Richardson, TX 75082
Phone (877) 585-7400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
666203TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Three Oaks Palliative Care PLLC Family CurrentSince Apr 18, 2022 Accepting new patients

Locations

717 N Harwood St
Ste 550
Dallas, TX 75201
Phone (214) 628-9951

2100 Lakeside Blvd
Ste 250
Richardson, TX 75082
Phone (469) 998-7443

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1245230473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9101",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750199494",
            "telephone_number": "972-745-7500",
            "fax_number": "972-471-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 E GRAPEVINE MILLS CIR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512047",
            "telephone_number": "972-539-6330",
            "fax_number": "972-539-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRINGTON",
        "first_name": "AMY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113271",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "666203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167874001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MALLORY",
            "middle_name": "D",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.