Individual provider Active NPI

Amber Cordero, FNP-C

  • Family Nurse Practitioner
  • Gainesville, TX
National Provider Identifier
1831883354
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1124676 Issued in TX
Practice address
800 W Highway 82
Gainesville, TX 76240-2524
Phone
(940) 301-5000
NPI assigned
Jun 7, 2023
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1124676 TX Primary

Addresses

Primary practice location

800 W Highway 82
Gainesville, TX 76240-2524

Mailing address

5538 Upper Montague Rd
Bowie, TX 76230-7823
Phone (940) 235-8274

Other names 1

  • Amber Christine Tatum Former name

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
I20231102002444 TX Practitioner - Nurse Practitioner 8729434303 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute Urgent Care IncGroup PAC ID 3375760721, 7 clinicians

Practice addresses (Care Compare)

800 W Hwy 82
Gainesville, TX 76240-2524
Phone (580) 223-8614

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1124676TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Titanium Emergency Group LLP CurrentSince Mar 4, 2025 Accepting new patients
Concord Medical Group PLLC CurrentSince Nov 1, 2024 Accepting new patients
Absolute Urgent Care Inc CurrentSince Sep 19, 2023 Accepting new patients
Gold Diagnostics Corp CurrentSince Sep 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 1, 2024 Accepting new patients
Absolute Urgent Care Inc Family CurrentSince Sep 19, 2023 Accepting new patients
Christine Holland MD PA CurrentSince Jun 4, 2024 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110

800 W Highway 82
Gainesville, TX 76240
Phone (580) 223-8614

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

10101 Fondren Rd
Ste 112
Houston, TX 77096
Phone (281) 912-3264

26631 US Highway 380 E
Providence Village, TX 76227
Phone (580) 223-8614

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1831883354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 UPPER MONTAGUE RD",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762307823",
            "telephone_number": "940-235-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HIGHWAY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402524",
            "telephone_number": "940-301-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1124676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "TATUM",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.