Active NPI
Amani Prince
- Certified Registered Nurse Anesthetist
- Kilgore, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 990283
- Practice address
- 625 Highland Dr
Kilgore, TX 75662-3963 - Phone
- (903) 519-3954
- NPI assigned
- Jul 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 990283 | TX | Primary |
Addresses
Primary practice location
625 Highland Dr
Kilgore, TX 75662-3963
Mailing address
625 Highland Dr
Kilgore, TX 75662-3963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-6356
610 N Coit Rd
2100 Vertex Anesthesia
Richardson, TX 75080-5462
Phone (972) 954-3588
Hospital & facility affiliations
- Baylor University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 990283 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Vertex Anesthesia, PLLC | Current | Accepting new patients | |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
17051 Dallas Pkwy
Ste 100
Addison, TX 75001
Phone (469) 718-5260
1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700
3500 Gaston Ave
Dallas, TX 75246
4447 N Central Expy
Ste 110
Dallas, TX 75205
Phone (214) 707-3634
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
4708 Alliance Blvd
Ste 210
Plano, TX 75093
Phone (469) 800-6021
610 N Coit Rd
Ste 2100
Richardson, TX 75080
Phone 9405658580210
421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1487106175
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1780575068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 HIGHLAND DR",
"city": "KILGORE",
"state": "TX",
"postal_code": "756623963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 HIGHLAND DR",
"city": "KILGORE",
"state": "TX",
"postal_code": "756623963",
"telephone_number": "903-519-3954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "AMANI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "990283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kilgore, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.