Individual provider Active NPI

Amy Gann, APRN

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1730380700
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN10659 Issued in TN
Practice address
1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078
Phone
(512) 708-1234
Fax
(512) 708-4567
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN10659 TN Primary

Addresses

Primary practice location

1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078

Mailing address

1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078
Phone (512) 708-1234

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000489 TX Practitioner - Nurse Practitioner 9830230572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN10659TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgeons Who Only Care for Kids, PA Current Accepting new patients
Surgeons Who Only Care for Kids, PA CurrentSince Jun 20, 2011 Accepting new patients

Locations

1301 Barbara Jordan Blvd
Austin, TX 78723
Phone (512) 324-0098

1301 Barbara Jordan Blvd
Ste 400
Austin, TX 78723
Phone (512) 708-4567

1301 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 324-0975

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8363/brand/2/csg/1/fhir/r4
  • Direct secure messaging: amy.gann.1@8363.direct.athenahealth.com

Organizations & group practices 2

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1730380700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233078",
            "telephone_number": "512-708-1234",
            "fax_number": "512-708-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233078",
            "telephone_number": "512-708-1234",
            "fax_number": "512-708-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANN",
        "first_name": "AMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN10659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.