Individual provider Active NPI

Amber Rene' Hines, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Paris, TX
National Provider Identifier
1811547524
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143055 Issued in TX
Practice address
520 N Collegiate Dr Ste a
Paris, TX 75460-4885
Phone
(903) 784-1608
Fax
(903) 784-0846
NPI assigned
Sep 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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 AP143055 TX Primary

Addresses

Primary practice location

520 N Collegiate Dr Ste a
Paris, TX 75460-4885

Mailing address

520 N Collegiate Dr Ste a
Paris, TX 75460-4885
Phone (903) 784-1608

Other names 1

  • Amber Howard Maynard Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amber@hayesclinic.com Direct

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
I20200221002433 TX Practitioner - Nurse Practitioner 3173867405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healx Wound Care of Netx PLLCGroup PAC ID 0941747174, 6 clinicians

Practice addresses (Care Compare)

410 N Collegiate Dr
Paris, TX 75460-4886
Phone (903) 204-4007

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1811547524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N COLLEGIATE DR STE A",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604885",
            "telephone_number": "903-784-1608",
            "fax_number": "903-784-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N COLLEGIATE DR STE A",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604885",
            "telephone_number": "903-784-1608",
            "fax_number": "903-784-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "AMBER",
        "middle_name": "RENE'",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amber@hayesclinic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "520 N Collegiate Dr Ste A",
            "city": "Paris",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754604885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HOWARD MAYNARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.