Active NPI
Amie KS Family Medical Practice PLLC
- Family Nurse Practitioner
- Abilene, TX
National Provider Identifier
1821798372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- AMIE KS FAMILY MEDICAL PRACTICE PLLC
- Practice address
- 702 Hickory St Ste B
Abilene, TX 79601-5038 - Phone
- (325) 701-8888
- Fax
- (325) 701-8900
- NPI assigned
- Mar 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amie M Keawmanee, FNP
- Title
- Owner
- Phone
- (325) 864-3305
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
702 Hickory St Ste B
Abilene, TX 79601-5038
Mailing address
702 Hickory St Ste B
Abilene, TX 79601-5038
Phone (325) 701-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
702 Hickory St
Ste B
Abilene, TX 79601
Phone (325) 677-2026
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Abilene, TX
- NPI 1669841300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704326400000",
"number": "1821798372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 HICKORY ST STE B",
"city": "ABILENE",
"state": "TX",
"postal_code": "796015038",
"telephone_number": "325-701-8888",
"fax_number": "325-701-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 HICKORY ST STE B",
"city": "ABILENE",
"state": "TX",
"postal_code": "796015038",
"telephone_number": "325-701-8888",
"fax_number": "325-701-8900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMIE KS FAMILY MEDICAL PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-03",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A",
"authorized_official_last_name": "KEAWMANEE",
"authorized_official_first_name": "AMIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "325-864-3305",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.