Individual provider Active NPI

Jason Hathaway, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1447824404
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1038433 Issued in TX
Practice address
1731 Hagy Blvd
Amarillo, TX 79106-1750
Phone
(806) 420-3550
Fax
(888) 613-0381
NPI assigned
May 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 1038433 TX Primary

Addresses

Primary practice location

1731 Hagy Blvd
Amarillo, TX 79106-1750

Mailing address

1731 Hagy Blvd
Amarillo, TX 79106-1750
Phone (806) 420-3550

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
I20211115002586 TX Practitioner - Nurse Practitioner 5092104984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy Upton FNP-BC PCGroup PAC ID 7618122920, 2 clinicians

Practice addresses (Care Compare)

1731 Hagy Blvd
Amarillo, TX 79106-1750
Phone (806) 420-3550

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Upton FNP-BC PC Family CurrentSince Nov 1, 2024 Accepting new patients
Apacc Inc CurrentSince May 1, 2021 Accepting new patients

Locations

1731 Hagy Blvd
Amarillo, TX 79106
Phone (806) 420-3550

3501 SW 45th Ave
Ste T
Amarillo, TX 79109
Phone (806) 355-3000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1447824404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 HAGY BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061750",
            "telephone_number": "806-420-3550",
            "fax_number": "888-613-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 HAGY BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061750",
            "telephone_number": "806-420-3550",
            "fax_number": "888-613-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "JASON",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1038433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.