Individual provider Active NPI

Miriam Amaya, NP-C

  • Family Nurse Practitioner
  • Baytown, TX
National Provider Identifier
1780148650
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140110 Issued in TX
Practice address
1642 W Baker Rd Ste B
Baytown, TX 77521-2406
Phone
(281) 422-3000
Fax
(281) 422-0937
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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 AP140110 TX Primary

Addresses

Primary practice location

1642 W Baker Rd Ste B
Baytown, TX 77521-2406

Mailing address

1642 W Baker Rd
Baytown, TX 77521-2405
Phone (281) 422-3000

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
I20190408002467 TX Practitioner - Nurse Practitioner 4587905146 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140110TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists of Texas PA Family CurrentSince Sep 1, 2022 Accepting new patients
Monogram Health Professional Services of Texas PLLC Family CurrentSince May 1, 2023 Accepting new patients
Nephrology and Hypertension Specialists PA CurrentSince Oct 25, 2020 Accepting new patients
Nephrology and Hypertension Specialists PA CurrentSince Jan 3, 2019 Accepting new patients

Locations

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

1642 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 422-3000

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

Interoperability endpoints

  • Direct secure messaging: miriam.amaya.1@22854.direct.athenahealth.com
  • Direct secure messaging: miriamamaya@usoapas.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1780148650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 W BAKER RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212405",
            "telephone_number": "281-422-3000",
            "fax_number": "281-422-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 W BAKER RD STE B",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212406",
            "telephone_number": "281-422-3000",
            "fax_number": "281-422-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAYA",
        "first_name": "MIRIAM",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.