Individual provider Active NPI

Amanda Lynn Stookey, CAA

  • Anesthesiologist Assistant
  • Houston, TX
National Provider Identifier
1700464500
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
6400 Fannin St
Houston, TX 77030-1521
Phone
(713) 704-4000
NPI assigned
Apr 1, 2021
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 67.000519 OH
Anesthesiologist Assistant 367H00000X TX Primary

Addresses

Primary practice location

6400 Fannin St
Houston, TX 77030-1521

Mailing address

8282 Cambridge St Apt 1906
Houston, TX 77054-3128
Phone (419) 389-7043

Other practice location 1

410 W 10th Ave Fl 1
Columbus, OH 43210-1240
Phone (614) 293-8487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210701000139 TX Practitioner - Anesthesiology Assistant 3779984489 Reassigns benefits to 2 organizations
I20241017002015 OH Practitioner - Anesthesiology Assistant 3779984489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Observation Medicine, LLCGroup PAC ID 3375692270, 423 clinicians

Practice addresses (Care Compare)

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.32 of 100Reported as apm
Quality
71.78
Promoting interoperability
98.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
67.000519OHMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jul 12, 2021 Accepting new patients
Ut Physicians CurrentSince Jul 12, 2021 Accepting new patients
Dynamic Anesthesia Providers PLLC CurrentSince Oct 4, 2023 Accepting new patients
Osu Observation Medicine, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

410 W 10th Ave
Fl 1
Columbus, OH 43210

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

15149 Wallisville Rd
Ste 100
Houston, TX 77049
Phone (832) 400-2396

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

6400 Fannin St
Houston, TX 77030
Phone (713) 704-4300

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

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

Interoperability endpoints

  • Direct secure messaging: amanda.stookey.1@13131.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1700464500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8282 CAMBRIDGE ST APT 1906",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543128",
            "telephone_number": "419-389-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521",
            "telephone_number": "713-704-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W 10th Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-8487",
            "fax_number": "614-293-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOOKEY",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67.000519",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.

Verify at the official NPI Registry.