Individual provider Active NPI

Anita M Clark, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1548811656
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142430 Issued in TX
Practice address
2329 Ross Osage St
Amarillo, TX 79103-7910
Phone
(806) 350-5790
NPI assigned
Sep 20, 2019
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 AP142430 TX Primary

Addresses

Primary practice location

2329 Ross Osage St
Amarillo, TX 79103-7910

Mailing address

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 355-8900

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
I20191015000784 TX Practitioner - Nurse Practitioner 1153652631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMC Medical Foundation, Inc.Group PAC ID 9133341795, 37 clinicians

Practice addresses (Care Compare)

2329 Ross Osage St
Amarillo, TX 79103-3000
Phone (806) 350-5790

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142430TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Medical Foundation, Inc. Family CurrentSince Oct 1, 2019 Accepting new patients
Healogics Specialty Physicians of Texas, PLLC CurrentSince Dec 21, 2023 Accepting new patients

Locations

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

1200 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-4150

1616 S Kentucky St
Ste B100
Amarillo, TX 79102
Phone (806) 355-8900

2329 Ross Osage St
Amarillo, TX 79103
Phone (806) 350-5790

2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325

911 23rd St
#0
Canyon, TX 79015

Interoperability endpoints

  • Direct secure messaging: anita.allison.1@33715.direct.athenahealth.com
  • Direct secure messaging: anita.allison@3932.securemail.prognocis.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1548811656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LAKEVIEW DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091531",
            "telephone_number": "806-355-8900",
            "fax_number": "806-355-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 ROSS OSAGE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791037910",
            "telephone_number": "806-350-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANITA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.