Individual provider Active NPI

Helen Agwajinma Amadi, FNP

  • Family Nurse Practitioner
  • Flower Mound, TX
National Provider Identifier
1497257018
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136715 Issued in TX
Practice address
1100 Flower Mound Rd
Flower Mound, TX 75028-3503
Phone
(974) 874-8421
Fax
(214) 285-2721
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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 AP136715 TX Primary

Addresses

Primary practice location

1100 Flower Mound Rd
Flower Mound, TX 75028-3503

Mailing address

1100 Flower Mound Rd
Flower Mound, TX 75028-3503
Phone (974) 874-8421

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
I20180907000647 TX Practitioner - Nurse Practitioner 8628161411 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136715TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Jun 1, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Jun 1, 2022 Accepting new patients
Caretouch Services, Inc. Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

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.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1497257018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FLOWER MOUND RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283503",
            "telephone_number": "974-874-8421",
            "fax_number": "214-285-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FLOWER MOUND RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283503",
            "telephone_number": "974-874-8421",
            "fax_number": "214-285-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADI",
        "first_name": "HELEN",
        "middle_name": "AGWAJINMA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.