Individual provider Active NPI

Amber L Downes, PA

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1801811419
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04519 Issued in TX
Practice address
1217 Oakland Blvd
Fort Worth, TX 76103-1125
Phone
(817) 457-3853
Fax
(817) 457-2794
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04519 TX Primary

Addresses

Primary practice location

1217 Oakland Blvd
Fort Worth, TX 76103-1125

Mailing address

1217 Oakland Blvd
Fort Worth, TX 76103-1125
Phone (817) 457-3853

Other identifiers 2

IdentifierTypeStateIssuer
182456701MedicaidTX
182456704MedicaidTX

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
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1801811419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 OAKLAND BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031125",
            "telephone_number": "817-457-3853",
            "fax_number": "817-457-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 OAKLAND BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031125",
            "telephone_number": "817-457-3853",
            "fax_number": "817-457-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNES",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182456701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182456704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.