Individual provider Active NPI

Amanda Klontz Tusing

  • Pediatric Nurse Practitioner
  • League City, TX
National Provider Identifier
1588215776
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP143161 Issued in TX
Practice address
3831 E League City Pkwy Ste a
League City, TX 77573-7155
Phone
(281) 581-7008
Fax
(281) 957-9476
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP143161 TX
Pediatric Nurse Practitioner 363LP0200X AP143161 TX Primary

Addresses

Primary practice location

3831 E League City Pkwy Ste a
League City, TX 77573-7155

Mailing address

34506 Kristine
Pinehurst, TX 77362-3416
Phone (409) 502-1148

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
I20211104000398 TX Practitioner - Nurse Practitioner 7315335775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Pediatric Immediate Care of Texas, PLLC PastSince Sep 29, 2019 Accepting new patients

Locations

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1588215776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34506 KRISTINE",
            "city": "PINEHURST",
            "state": "TX",
            "postal_code": "773623416",
            "telephone_number": "409-502-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 E LEAGUE CITY PKWY STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737155",
            "telephone_number": "281-581-7008",
            "fax_number": "281-957-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSING",
        "first_name": "AMANDA",
        "middle_name": "KLONTZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143161",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP143161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.