Active NPI
Amy Eva Rain, APRN, FNP-C
- Family Nurse Practitioner
- Huntsville, TX
National Provider Identifier
1396398087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP142302
- Practice address
- 102 Medical Park LN Ste a
Huntsville, TX 77340-4975 - Phone
- (936) 304-1700
- Fax
- (936) 304-1701
- NPI assigned
- Jul 22, 2019
- Last updated
- Apr 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142302 | TX | Primary |
Addresses
Primary practice location
102 Medical Park LN Ste a
Huntsville, TX 77340-4975
Mailing address
PO Box 4001
Houston, TX 77210-4001
Phone (936) 304-1700
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP142302 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1396398087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4001",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104001",
"telephone_number": "936-304-1700",
"fax_number": "936-304-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MEDICAL PARK LN STE A",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404975",
"telephone_number": "936-304-1700",
"fax_number": "936-304-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIN",
"first_name": "AMY",
"middle_name": "EVA",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.