Individual provider Active NPI

Haley Monfort, APRN

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1578148771
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1031585 Issued in TX
Practice address
1 Medical Dr
Amarillo, TX 79106-4137
Phone
(806) 322-3599
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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 1031585 TX Primary

Addresses

Primary practice location

1 Medical Dr
Amarillo, TX 79106-4137

Mailing address

9209 Rockwood Dr
Amarillo, TX 79119-1382

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
I20220414001337 TX Practitioner - Nurse Practitioner 9830585033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Urgent Care PLLCGroup PAC ID 7517185127, 10 clinicians

Practice addresses (Care Compare)

7200 SW 45TH Ave
Unit 14
Amarillo, TX 79109-5084
Phone (806) 680-1900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1031585TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Health, LLC CurrentSince Apr 4, 2022 Accepting new patients
Northwest Urgent Care, PLLC Family CurrentSince Jan 4, 2023 Accepting new patients

Locations

1600 S Coulter St
Ste 100
Amarillo, TX 79106
Phone (806) 359-5874

7200 SW 45th Ave
Unit 14
Amarillo, TX 79109
Phone (806) 680-1900

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1578148771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 ROCKWOOD DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791191382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064137",
            "telephone_number": "806-322-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFORT",
        "first_name": "HALEY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1031585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.