Individual provider Active NPI

Patricia Lynn Wampler, LMSW ACP

  • Social Worker
  • Houston, TX
National Provider Identifier
1487648366
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
08368 Issued in TX
Practice address
17115 Red Oak Dr
Ste 109
Houston, TX 77090-2607
Phone
(281) 893-4111
Fax
(281) 893-8082
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 08368 TX Primary

Addresses

Primary practice location

17115 Red Oak Dr
Ste 109
Houston, TX 77090-2607

Mailing address

17115 Red Oak Dr
Ste 109
Houston, TX 77090-2607
Phone (281) 893-4111

Other identifiers 1

IdentifierTypeStateIssuer
038325901MedicaidTX

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000643 TX Practitioner - Clinical Social Worker 1658552591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Oak Psychiatry Associates PAGroup PAC ID 3577551001, 3 clinicians

Practice addresses (Care Compare)

17115 Red Oak Dr
Suite 109
Houston, TX 77090-2607
Phone (281) 893-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Red Oak Psychiatry Associates, P.a. CurrentSince Jun 2, 1992 Accepting new patients
Redoak Psychiatry Past Accepting new patients

Locations

17115 Red Oak Dr
Ste 109
Houston, TX 77090
Phone (281) 893-4111

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1487648366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR",
            "address_2": "STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "281-893-4111",
            "fax_number": "281-893-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR",
            "address_2": "STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "281-893-4111",
            "fax_number": "281-893-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMPLER",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW ACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "08368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038325901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.