Active NPI
Amanda Womack
- Anesthesiologist Assistant
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 8037 Perry St Apt 164
Overland Park, KS 66204-4756 - Phone
- (405) 819-6925
- NPI assigned
- Nov 15, 2016
- Last updated
- Jun 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | NU | Primary |
Addresses
Primary practice location
8037 Perry St Apt 164
Overland Park, KS 66204-4756
Mailing address
1211 E 134TH PL
Glenpool, OK 74033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 NW Expressway St
Oklahoma City, OK 73112-4418
Phone (405) 949-3011
4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 713-4565
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13 | OK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Oklahoma, PLLC | Current | Accepting new patients | |
| Anesthesia Medical Professionals, PLLC | Current | Accepting new patients |
Locations
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
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.
-
- Anesthesiology Physician
- Edmond, OK
- NPI 1962785931
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba INTEGRIS Decisions Mental Health and Addiction Recovery Programs
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
dba Integris Mental Health Center
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
dba Integris Health Baptist Medical Center
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
dba Integris Mental Health Center Acute
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1689116030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 E 134TH PL",
"city": "GLENPOOL",
"state": "OK",
"postal_code": "74033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8037 PERRY ST APT 164",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662044756",
"telephone_number": "405-819-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.