Active NPI
Amanda Witt Nunley, M.D.
- Family Medicine Physician
- Universal City, TX
National Provider Identifier
1548423288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N5913
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB125053 | Other | TX | MEDICARE PTAN |
| 00R90C | Other | TX | GROUP 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
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0029052 | TX | MD | Family Medicine Physician |
| N5913 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Physician Network | Past | Accepting new patients | |
| Methodist Carenow Urgent Care PLLC | Family Medicine | Past | 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.
-
- Specialist
- Beaumont, TX
- NPI 1558485532
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1083154207
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
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.