Organization Active NPI

Amie KS Family Medical Practice PLLC

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1821798372
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Amie M Keawmanee, FNPNPI 1669841300
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20230421000155 TX Part B Supplier - Clinic/Group Practice 9638534902 Receives reassigned benefits from 1 practitioner
Practice locations: Abilene, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.