Amarillo Stat Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

AMARILLO STAT CARE PLLC

Practice address

6014 S Western St
Suite 400
Amarillo, TX 79110-3612

Phone

(806) 553-2728

Fax

(806) 553-2872

NPI assigned

Dec 9, 2016

Organization subpart

No

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

Authorized official

Name

Bryan Lee Williams

Title

Business Manager

Phone

(806) 771-0033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Amarillo Stat Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amarillo Stat Care PLLC

  • Urgent Care Clinic/Center
  • Amarillo, TX
  • NPI 1881134070
  NPD tax ID

Practitioners 2

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

• Lindsey Brewer, FNP

  • Family Nurse Practitioner
  • Amarillo, TX
  • NPI 1356888523
  Medicare reassignment Care Compare group
• Kayla Mabery, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
  • NPI 1760862866
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1700320702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 YUCCA DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791083709",
            "telephone_number": "806-231-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 S WESTERN ST",
            "address_2": "SUITE 400",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791103612",
            "telephone_number": "806-553-2728",
            "fax_number": "806-553-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO STAT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "806-771-0033"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarillo South Chiropractic PLLC
• Amarillo South Texas Emergency Center, LLC
• Amarillo Specialty Hospital
• Amarillo Specialty Hospital
• Amarillo Sports Medicine & Orthopedic Center LLP
• Amarillo Stat Care PLLC
• Amarillo Super Smiles for Kids PLLC
• Amarillo Surgery and Endoscopy, LP
• Amarillo Ufirst Urgent Care Clinic Inc.
• Amarillo Urgent Care LLC

• Family Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.