Individual provider Active NPI

Amber R Lavender, FNP

  • Family Nurse Practitioner
  • Gainesville, TX
National Provider Identifier
1326504226
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137970 Issued in TX
Practice address
800 W Highway 82
Gainesville, TX 76240-2524
Phone
(940) 301-5000
Fax
(940) 612-8801
NPI assigned
Feb 15, 2019
Last updated
Jan 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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 AP137970 TX Primary
Registered Nurse 163W00000X 833524 TX

Addresses

Primary practice location

800 W Highway 82
Gainesville, TX 76240-2524

Mailing address

813 N Commerce St
Gainesville, TX 76240-3214
Phone (806) 333-0730

Other practice location 1

813 N Commerce St
Gainesville, TX 76240-3214
Phone (806) 333-0730

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
I20191213001536 TX Practitioner - Nurse Practitioner 7618300153 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
Absolute Urgent Care IncGroup PAC ID 3375760721, 7 clinicians

Practice addresses (Care Compare)

800 W Hwy 82
Gainesville, TX 76240-2524
Phone (580) 223-8614

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
833524TXMDRegistered Nurse
AP137970TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Urgent Care Inc CurrentSince Dec 1, 2019 Accepting new patients
Acton Medical Clinic PA CurrentSince Oct 1, 2019 Accepting new patients
Absolute Urgent Care Inc Family CurrentSince Dec 1, 2019 Accepting new patients

Locations

800 W Highway 82
Gainesville, TX 76240
Phone (580) 223-8614

2006 Fall Creek Hwy
Granbury, TX 76049
Phone (817) 326-3440

2331 W Shady Grove Rd
#100
Irving, TX 75060
Phone (817) 326-3440

26631 US Highway 380 E
Providence Village, TX 76227
Phone (580) 223-8614

Interoperability endpoints

  • Direct secure messaging: amber.lavender.1@9505.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BABHBD

Organizations & group practices 3

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": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1326504226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N COMMERCE ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403214",
            "telephone_number": "806-333-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HIGHWAY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402524",
            "telephone_number": "940-301-5000",
            "fax_number": "940-612-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 N Commerce St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762403214",
            "country_code": "US",
            "telephone_number": "806-333-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "AMBER",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-15",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137970",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "833524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.