Active NPI
Amelia S Jay, RN, FNP-BC
- Family Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1821327974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP118514
- Practice address
- 3702 21St St
Lubbock, TX 79410 - Phone
- (806) 795-2751
- Fax
- (806) 795-8464
- NPI assigned
- Dec 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 734097 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP118514 | TX | Primary |
Addresses
Primary practice location
3702 21St St
Lubbock, TX 79410
Mailing address
2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821327974 | Other | TX | FIRSTCARE |
| 220025506 | Medicaid | TX | |
| 8HV786 | Other | TX | BCBS |
| 380398YKT8 | Other | TX | MEDICARE |
| 41100379 | Medicaid | NM |
Other names 1
- Amye S Jay
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 734097 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- amye.jay@direct.myteamcare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1821327974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 NASHVILLE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101105",
"telephone_number": "806-725-5844",
"fax_number": "806-723-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 21ST ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79410",
"telephone_number": "806-795-2751",
"fax_number": "806-795-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAY",
"first_name": "AMELIA",
"middle_name": "S",
"credential": "RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-21",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "734097",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP118514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "1821327974",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220025506",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8HV786",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "380398YKT8",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41100379",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMYE",
"last_name": "JAY",
"middle_name": "S",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.