Individual provider Active NPI

Amy Michelle Kowald, FNP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1245867563
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142814 Issued in TX
Practice address
5440 Harvest Hill Rd Ste 182
Dallas, TX 75230-1605
Phone
(972) 484-0040
Fax
(972) 484-0070
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142814 TX Primary

Addresses

Primary practice location

5440 Harvest Hill Rd Ste 182
Dallas, TX 75230-1605

Mailing address

3804 Townbluff Dr
Plano, TX 75023-8013
Phone (972) 571-2352

Other practice location 1

3804 Townbluff Dr
Plano, TX 75023-8013
Phone (972) 571-2352

Other practice location 2

4001 McEwen Rd Ste 106
Dallas, TX 75244-5021
Phone (214) 378-6005

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.47 of 100Reported as group
Quality
82.96
Improvement activities
40
Cost
44.28

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1245867563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 TOWNBLUFF DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750238013",
            "telephone_number": "972-571-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 HARVEST HILL RD STE 182",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301605",
            "telephone_number": "972-484-0040",
            "fax_number": "972-484-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3804 Townbluff Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750238013",
            "country_code": "US",
            "telephone_number": "972-571-2352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 McEwen Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752445021",
            "country_code": "US",
            "telephone_number": "214-378-6005",
            "fax_number": "214-378-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALD",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2021-09-27",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.