Active NPI
Amanda Welch, P.A.
- Physician Assistant
- Lewisville, TX
National Provider Identifier
1730222845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02774
- Practice address
- 1850 Lakepointe Dr
Suite 400
Lewisville, TX 75057-6442 - Phone
- (972) 316-0262
- Fax
- (972) 316-8762
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02774 | TX | Primary |
Addresses
Primary practice location
1850 Lakepointe Dr
Suite 400
Lewisville, TX 75057-6442
Mailing address
PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1730222845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35629",
"city": "DALLAS",
"state": "TX",
"postal_code": "752350629",
"telephone_number": "214-424-2213",
"fax_number": "214-231-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 LAKEPOINTE DR",
"address_2": "SUITE 400",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576442",
"telephone_number": "972-316-0262",
"fax_number": "972-316-8762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "AMANDA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.