Individual provider Active NPI

Amanda Rachel Honor

  • Other Technician
  • Corpus Christi, TX
National Provider Identifier
1770029704
Registry record updated Jan 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
332000000X Issued in TX
Practice address
8930 Ocean Dr
Hangar 41
Corpus Christi, TX 78419-5201
Phone
(361) 939-6270
NPI assigned
Jan 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 332000000X TX Primary

Addresses

Primary practice location

8930 Ocean Dr
Hangar 41
Corpus Christi, TX 78419-5201

Mailing address

8930 Ocean Dr
Hangar 41
Corpus Christi, TX 78419-5201
Phone (361) 939-6270

Other identifiers 1

IdentifierTypeStateIssuer
1316044167OtherTXUSCG HOUSTON-GALVESTON

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
332000000XTXMDOther Technician

NPI Registry JSON

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484352000000",
    "number": "1770029704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 OCEAN DR",
            "address_2": "HANGAR 41",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195201",
            "telephone_number": "361-939-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 OCEAN DR",
            "address_2": "HANGAR 41",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195201",
            "telephone_number": "361-939-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONOR",
        "first_name": "AMANDA",
        "middle_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-14",
        "last_updated": "2017-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "332000000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USCG HOUSTON-GALVESTON",
            "identifier": "1316044167",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; 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.