Individual provider Active NPI

Amanda K. Miller, MPH, MPAS, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1366723363
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA09296 Issued in TX
Practice address
207 E. Evergreen St.
San Antonio, TX 78212-4316
Phone
(210) 922-7000
Fax
(210) 924-1374
NPI assigned
Sep 2, 2011
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA09296 TX Primary

Addresses

Primary practice location

207 E. Evergreen St.
San Antonio, TX 78212-4316

Mailing address

3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000

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
I20141113000687 TX Practitioner - Physician Assistant 0345462032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09296TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro del Barrio, Inc CurrentSince Nov 10, 2024 Accepting new patients
El Centro del Barrio CurrentSince Sep 2, 2014 Accepting new patients
El Centro del Barrio, Inc. CurrentSince Sep 2, 2014 Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients
El Centro del Barrio, Inc. PastSince Jul 1, 2024 Accepting new patients

Locations

207 E Evergreen St
San Antonio, TX 78212

207 E Evergreen St
Ste 103
San Antonio, TX 78212

315 N San Saba
Ste 103
San Antonio, TX 78207
Phone (210) 738-8222

3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700

6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254

Interoperability endpoints

  • Direct secure messaging: amanda.miller.p1@direct.centromed.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1366723363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-738-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E. EVERGREEN ST.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124316",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMANDA",
        "middle_name": "K.",
        "credential": "MPH, MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.