Individual provider Active NPI

Michael Lee Doyal, FNP-BC

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1750544672
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
694835 Issued in TX
Practice address
1901 Medi Park Dr
Ste 2051
Amarillo, TX 79106-2169
Phone
(806) 468-4300
Fax
(806) 468-4398
NPI assigned
Jul 10, 2008
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 694835 TX Primary

Addresses

Primary practice location

1901 Medi Park Dr
Ste 2051
Amarillo, TX 79106-2169

Mailing address

1400 Wallace Blvd
Attn: Credentialing Dept
Amarillo, TX 79106-1708
Phone (806) 468-4300

Other identifiers 4

IdentifierTypeStateIssuer
200313600 AMedicaidOK
283957301MedicaidTX
22979875MedicaidNM
283957302MedicaidTX

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
694835TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Clinics, P.a. Family Past Accepting new patients
FMC Medical Foundation, Inc. Family Past Accepting new patients
Family Medicine Centers Lab L P Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1750544672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WALLACE BLVD",
            "address_2": "ATTN: CREDENTIALING DEPT",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061708",
            "telephone_number": "806-468-4300",
            "fax_number": "806-468-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "STE 2051",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062169",
            "telephone_number": "806-468-4300",
            "fax_number": "806-468-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYAL",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "694835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200313600 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283957301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22979875",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283957302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.