Synergy Primecare PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

SYNERGY PRIMECARE PLLC

Practice address

1331 N Grand Pkwy Ste 111
Katy, TX 77493-2711

Phone

(301) 717-9249

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Shirley Adaeze Amanfo, APRN, FNP-C, MSNNPI 1326628991

Title

President/Owner

Phone

(281) 752-6233

Specialties & licenses 1

Addresses

Other names 1

• QuCiL Health Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Shirley Adaeze Amanfo, NP

  • Family Nurse Practitioner
  • Brookshire, TX
  • NPI 1326628991
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1831871185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SUMMERSET LANE",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "77423",
            "telephone_number": "281-752-6233",
            "fax_number": "866-635-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N GRAND PKWY STE 111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "301-717-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PRIMECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-06-28",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "AMANFO",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ADAEZE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "281-752-6233",
        "authorized_official_credential": "APRN, FNP-C, MSN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QuCiL Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "QuCiL Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• T.L. Jenkins M.D., P.a.
• Alexandra Isabel Taber

• Primary Care Nurse Practitioner in Katy, TX
• Providers in Katy, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.