Individual provider Active NPI

Andrea Lynn Hester, PHD

  • Clinical Neuropsychologist
  • Plano, TX
National Provider Identifier
1699009407
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
34346 Issued in TX
Practice address
5055 W Park Blvd Ste 400
Plano, TX 75093-2590
Phone
(214) 814-4055
Fax
(469) 409-0371
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34346 TX
Clinical Neuropsychologist 103G00000X 34346 TX Primary

Addresses

Primary practice location

5055 W Park Blvd Ste 400
Plano, TX 75093-2590

Mailing address

5055 W Park Blvd Ste 400
Plano, TX 75093-2590
Phone (214) 814-4055

Other names 1

  • Andrea Lynn Holland Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000297 TX Practitioner - Clinical Psychologist 7214074889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5055 W Park Blvd
Suite 400
Plano, TX 75093-2590
Phone (214) 814-4055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
NTX Neuropsychology Clinical Neuropsychologist CurrentSince Apr 1, 2024 Accepting new patients
KRC Memory Care PLLC CurrentSince Apr 3, 2023 Accepting new patients
One Rehab CurrentSince Dec 1, 2021 Accepting new patients

Locations

8198 Walnut Hill Ln
Ste 100
Dallas, TX 75231
Phone (214) 345-4449

6080 N Central Expy
Dallas, TX 75206
Phone (469) 646-0366

5055 W Park Blvd
Ste 400
Plano, TX 75093
Phone (901) 826-7075

1761 International Pkwy
Ste 135
Richardson, TX 75081
Phone (972) 757-8684

Interoperability endpoints

  • Direct secure messaging: neutrauma.andreahester@158541.advancedmd-direct.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1699009407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 W PARK BLVD STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932590",
            "telephone_number": "214-814-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 W PARK BLVD STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932590",
            "telephone_number": "214-814-4055",
            "fax_number": "469-409-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTER",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34346",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HOLLAND",
            "middle_name": "LYNN",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.