Individual provider Active NPI

Amy Nicole Birchfield, R.N.C., NNP-BC

  • Neonatal Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1679769392
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
753590 Issued in TX
Practice address
1617 Hemphill St
JPS Physician'S Group - Nicu
Fort Worth, TX 76104-4709
Phone
(817) 702-3381
NPI assigned
Sep 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered Nurse 163WN0002X 1096576 KY
Registered Nurse 163W00000X RN0000156402 TN
Neonatal Intensive Care Registered Nurse 163WN0002X 753590 TX
Neonatal Nurse Practitioner 363LN0000X 753590 TX Primary

Addresses

Primary practice location

1617 Hemphill St
JPS Physician'S Group - Nicu
Fort Worth, TX 76104-4709

Mailing address

5621 Judy Dr
Midlothian, TX 76065-6871
Phone (859) 361-3374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN0000156402TNMDRegistered Nurse
1096576KYMDNeonatal Intensive Care Registered Nurse
753590TXMDNeonatal Intensive Care Registered Nurse

Interoperability endpoints

  • Direct secure messaging: abirchfield780364@ahs.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1679769392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 JUDY DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656871",
            "telephone_number": "859-361-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 HEMPHILL ST",
            "address_2": "JPS PHYSICIAN'S GROUP - NICU",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044709",
            "telephone_number": "817-702-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCHFIELD",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "R.N.C., NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "KY",
            "license": "1096576",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000156402",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "TX",
            "license": "753590",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "753590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.