NPIMap

Organization Active NPI

Decatur Little Eagle Pediatrics, P.a.

  • Pediatrics Physician
  • Decatur, TX
National Provider Identifier
1699812552
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K2797 Issued in TX
Legal business name
DECATUR LITTLE EAGLE PEDIATRICS, P.A.
Practice address
2401 S FM 51
Suite 100
Decatur, TX 76234-3781
Phone
(940) 627-8044
Fax
(940) 627-8055
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Amanda Lovette, MDNPI 1144209545
Title
President/Physician
Phone
(940) 627-8044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K2797 TX Primary

Addresses

Primary practice location

2401 S FM 51
Suite 100
Decatur, TX 76234-3781

Mailing address

2401 S FM 51
Suite 100
Decatur, TX 76234-3781
Phone (940) 627-8044

Other identifiers 3

IdentifierTypeStateIssuer
4196310OtherBLUE LINK
THS # 171105302MedicaidTX
171105301MedicaidTX

Other names 1

  • Amanda Lovette, M.D. Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20408/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1699812552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S FM 51",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343781",
            "telephone_number": "940-627-8044",
            "fax_number": "940-627-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S FM 51",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343781",
            "telephone_number": "940-627-8044",
            "fax_number": "940-627-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR LITTLE EAGLE PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "LOVETTE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "940-627-8044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K2797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "4196310",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THS # 171105302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171105301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Lovette, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.