Individual provider Active NPI

Amanda Witt Nunley, M.D.

  • Family Medicine Physician
  • Universal City, TX
National Provider Identifier
1548423288
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N5913 Issued in TX
Practice address
902 Kitty Hawk Rd
Suite 110
Universal City, TX 78148-3825
Phone
(210) 659-0889
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP1-0029052 TX
Obstetrics & Gynecology Physician 207V00000X BP1-0029052 TX
Family Medicine Physician 207Q00000X N5913 TX Primary

Addresses

Primary practice location

902 Kitty Hawk Rd
Suite 110
Universal City, TX 78148-3825

Mailing address

2232 Oak Vly
Schertz, TX 78154-1974
Phone (210) 863-6693

Other identifiers 2

IdentifierTypeStateIssuer
TXB125053OtherTXMEDICARE PTAN
00R90COtherTXGROUP PTAN 00R90C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP1-0029052TXMDFamily Medicine Physician
N5913TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network Past Accepting new patients
Methodist Carenow Urgent Care PLLC Family Medicine PastSince Oct 4, 2023 Accepting new patients
St. David'S Carenow Urgent Care PLLC Family Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1548423288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 OAK VLY",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541974",
            "telephone_number": "210-863-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KITTY HAWK RD",
            "address_2": "SUITE 110",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483825",
            "telephone_number": "210-659-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNLEY",
        "first_name": "AMANDA",
        "middle_name": "WITT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP1-0029052",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP1-0029052",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB125053",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN 00R90C",
            "identifier": "00R90C",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.