Individual provider Active NPI

Amanda Crow, FNP

  • Family Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1407492861
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143344 Issued in TX
Practice address
3024 Highway 121
Bedford, TX 76021-4037
Phone
(817) 494-5000
NPI assigned
Nov 20, 2019
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143344 TX Primary

Addresses

Primary practice location

3024 Highway 121
Bedford, TX 76021-4037

Mailing address

2917 Sheridan Dr
Carrollton, TX 75010-4286
Phone (972) 975-7321

Other practice location 1

2701 Sunset Ridge Dr Ste 200
Rockwall, TX 75032-0007
Phone (972) 772-5450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amoir1533357@direct.texashealth.org Health Information Exchange (HIE)

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
I20200110001916 TX Practitioner - Nurse Practitioner 0042645590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

3024 Hwy 121
Bedford, TX 76021-4037
Phone (817) 494-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143344TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Dec 23, 2019 Accepting new patients
Texas Health Physicians Group CurrentSince Dec 23, 2019 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

3024 Highway 121
Bedford, TX 76021
Phone (817) 494-5000

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2701 Sunset Ridge Dr
Ste 200
Rockwall, TX 75032
Phone (972) 772-5450

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1407492861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 SHERIDAN DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104286",
            "telephone_number": "972-975-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214037",
            "telephone_number": "817-494-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Sunset Ridge Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750320007",
            "country_code": "US",
            "telephone_number": "972-772-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROW",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoir1533357@direct.texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2701 Sunset Ridge Dr Ste 200",
            "city": "Rockwall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750320007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.