Individual provider Active NPI

Amanda Gordon, MSN, APRN, FNP-C

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1649749466
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP139802 Issued in TX
Practice address
19272 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-3372
Phone
(210) 265-8851
NPI assigned
Nov 21, 2018
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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 AP139802 TX Primary

Addresses

Primary practice location

19272 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-3372

Mailing address

9413 Blazing Star TRL
Garden Ridge, TX 78266-2313
Phone (512) 367-3277

Other practice location 1

598 N Union Ave Ste 350
New Braunfels, TX 78130-4196
Phone (830) 625-5375

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
I20191216000691 TX Practitioner - Nurse Practitioner 6204269798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates of South Texas, PLLCGroup PAC ID 9931103447, 17 clinicians

Practice addresses (Care Compare)

19272 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3372
Phone (210) 265-8851

Merit-based Incentive Payment System (MIPS)

Final score
73.06 of 100Reported as group
Quality
83.27
Promoting interoperability
90
Improvement activities
40
Cost
35.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of South Texas, PLLC CurrentSince Nov 7, 2019 Accepting new patients

Locations

19272 Stone Oak Pkwy
Ste 101
San Antonio, TX 78258
Phone (210) 265-8851

Organizations & group practices 1

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": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1649749466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9413 BLAZING STAR TRL",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662313",
            "telephone_number": "512-367-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583372",
            "telephone_number": "210-265-8851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "598 N Union Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304196",
            "country_code": "US",
            "telephone_number": "830-625-5375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP139802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.