Individual provider Active NPI

Amanda Thomley

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1689123416
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130571 Issued in TX
Practice address
4707 Pin Oak Park
Apt. 310
Houston, TX 77081-2244
Phone
(713) 859-5241
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130571 TX Primary

Addresses

Primary practice location

4707 Pin Oak Park
Apt. 310
Houston, TX 77081-2244

Mailing address

3660 Richmond Ave Apt 119
Houston, TX 77046-3614
Phone (713) 859-5241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161219001938 TX Practitioner - Nurse Practitioner 1658652250 Reassigns benefits to 2 organizations
I20220923001857 AL Practitioner - Nurse Practitioner 1658652250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medcore Associates, PLLC Current Accepting new patients
Ut Physicians CurrentSince Mar 1, 2017 Accepting new patients
Ut Physicians CurrentSince Mar 1, 2017 Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Houston County Healthcare Authority CurrentSince Jun 28, 2022 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Houston County Healthcare Authority Current Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1689123416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 RICHMOND AVE APT 119",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770463614",
            "telephone_number": "713-859-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 PIN OAK PARK",
            "address_2": "APT. 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812244",
            "telephone_number": "713-859-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMLEY",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.