Individual provider Active NPI

Amanda Stewart, NP

  • Family Medicine Physician
  • Humble, TX
National Provider Identifier
1619406162
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP132783 Issued in TX
Practice address
1420 FM 1960 Bypass Rd E Ste 122
Humble, TX 77338-3934
Phone
(832) 781-4340
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP132783 TX Primary

Addresses

Primary practice location

1420 FM 1960 Bypass Rd E Ste 122
Humble, TX 77338-3934

Mailing address

1420 FM 1960 Bypass Rd E Ste 122
Humble, TX 77338-3934
Phone (832) 781-4340

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
I20210322001009 TX Practitioner - Nurse Practitioner 7012287774 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132783TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Healthcare Services CurrentSince Jan 1, 2021 Accepting new patients
Get Well at Home Care Agency PastSince Jul 19, 2020 Accepting new patients

Locations

11411 N Sam Houston Pkwy E
Ste 146
Humble, TX 77396
Phone (832) 781-4340

1420 FM 1960 Bypass Rd E
Ste 122
Humble, TX 77338
Phone (281) 540-2225

19020 W Lake Houston Pkwy
Humble, TX 77346
Phone (281) 812-3736

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1619406162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 FM 1960 BYPASS RD E STE 122",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383934",
            "telephone_number": "832-781-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 FM 1960 BYPASS RD E STE 122",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383934",
            "telephone_number": "832-781-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP132783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.