Individual provider Active NPI

Amber Marie Martin, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Katy, TX
National Provider Identifier
1407353493
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP136855 Issued in TX
Practice address
1331 W Grand Pkwy N Ste 340
Katy, TX 77493-2711
Phone
(281) 392-2757
Fax
(281) 392-4794
NPI assigned
Apr 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP136855 TX
Primary Care Nurse Practitioner 363LP2300X AP136855 TX
Gerontology Nurse Practitioner 363LG0600X AP136855 TX Primary

Addresses

Primary practice location

1331 W Grand Pkwy N Ste 340
Katy, TX 77493-2711

Mailing address

PO Box 911230
Dallas, TX 75391-2593
Phone (972) 997-8000

Other practice location 1

929 Gessner Rd Ste 2450
Houston, TX 77024-2593
Phone (713) 464-9939

Other practice location 2

23960 Katy Fwy Ste 140
Katy, TX 77494-0892
Phone (713) 464-9939

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
I20220923000706 TX Practitioner - Nurse Practitioner 7517342736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1331 W Grand Pkwy N
Katy, TX 77493-2711
Phone (281) 392-2757

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136855TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Dec 9, 2024 Accepting new patients
Texas Oncology PA CurrentSince Dec 9, 2024 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA Current Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1331 W Grand Pkwy N
Ste 340
Katy, TX 77493
Phone (281) 392-2757

1350 First Colony Blvd
Sugar Land, TX 77479
Phone (281) 276-3467

Interoperability endpoints

  • Direct secure messaging: amber.martin2@txo.ikm.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1407353493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753912593",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 340",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "281-392-2757",
            "fax_number": "281-392-4794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Gessner Rd Ste 2450",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242593",
            "country_code": "US",
            "telephone_number": "713-464-9939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23960 Katy Fwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774940892",
            "country_code": "US",
            "telephone_number": "713-464-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP136855",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP136855",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP136855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.