Individual provider Active NPI

Amanda B Neill, FNP

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1821636168
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143551 Issued in TX
Practice address
23330 Highway 59 N Ste 300
Kingwood, TX 77339-4471
Phone
(281) 359-3223
Fax
(281) 359-2089
NPI assigned
Dec 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP224179 LA
Family Nurse Practitioner 363LF0000X AP143551 TX Primary

Addresses

Primary practice location

23330 Highway 59 N Ste 300
Kingwood, TX 77339-4471

Mailing address

23330 Highway 59 N Ste 300
Kingwood, TX 77339-4471
Phone (281) 359-3223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.neill.1@30157.direct.athenahealth.com

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
I20201022000472 TX Practitioner - Nurse Practitioner 3971923442 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP224179LAMDNurse Practitioner
AP143551TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen F Austin Community Health Center,Inc CurrentSince Oct 10, 2024 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Oct 10, 2024 Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

9700 Bissonnet St
Ste 1000W
Houston, TX 77036
Phone (832) 828-1005

10851 Scarsdale Blvd
Ste 160
Houston, TX 77089
Phone (281) 464-3780

215 Oak Dr S
Ste H
Lake Jackson, TX 77566
Phone (979) 297-1007

Organizations & group practices 2

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": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1821636168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23330 HIGHWAY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23330 HIGHWAY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "AMANDA",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP224179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.neill.1@30157.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "23330 Highway 59 N Ste 300",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773394471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.