NPIMap

Organization Active NPI

Children'S Healthcare Associates, LLP

  • Pediatrics Physician
  • Amarillo, TX
National Provider Identifier
1831226430
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K1129 Issued in TX
Legal business name
CHILDREN'S HEALTHCARE ASSOCIATES, LLP
Practice address
1901 Medi Park Dr Ste 2001
Amarillo, TX 79106-2108
Phone
(806) 468-4350
Fax
(806) 468-4351
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Dr. Carmen M Werner, MDNPI 1578547873
Title
Medical Director
Phone
(806) 468-4350

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K1129 TX Primary

Addresses

Primary practice location

1901 Medi Park Dr Ste 2001
Amarillo, TX 79106-2108

Mailing address

1901 Medi Park Dr Ste 2001
Amarillo, TX 79106-2108
Phone (806) 468-4350

Other practice location 1

1901 Medi Park Dr Ste 200
Amarillo, TX 79106-2107
Phone (806) 468-4350

Other identifiers 4

IdentifierTypeStateIssuer
161939701MedicaidTX
161939702MedicaidTX
411386201MedicaidTX
411386202MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0965161Children'S Healthcare Associates, LLP1901 Medi-Park Dr, Suite 2001, Amarillo, TX 79106Certificate of waiverSep 13, 2027
45D2180952Children'S Healthcare Associates, LLP1901 Medi-Park Dr, Suite # 200, Amarillo, TX 79106Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

1901 Medi Park Dr
Ste 2001
Amarillo, TX 79106
Phone (806) 356-2280

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1831226430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2001",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062108",
            "telephone_number": "806-468-4350",
            "fax_number": "806-468-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2001",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062108",
            "telephone_number": "806-468-4350",
            "fax_number": "806-468-4351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Medi Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791062107",
            "country_code": "US",
            "telephone_number": "806-468-4350",
            "fax_number": "806-468-4351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S HEALTHCARE ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "806-468-4350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161939701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161939702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411386201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411386202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.