Individual provider Active NPI

Amy McClatchy, MD

  • Pediatrics Physician
  • Abilene, TX
National Provider Identifier
1851470561
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M5368 Issued in TX
Practice address
1850 Hickory St
Suite #102
Abilene, TX 79601-2334
Phone
(325) 677-2801
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M5368 TX Primary

Addresses

Primary practice location

1850 Hickory St
Suite #102
Abilene, TX 79601-2334

Mailing address

1850 Hickory St
Suite #102
Abilene, TX 79601-2334
Phone (325) 677-2801

Other identifiers 4

IdentifierTypeStateIssuer
152569100OtherTXFIRSTCARE HMO
184027402MedicaidTX
8M2791OtherTXBLUE CROSS BLUE SHIELD
142911OtherTXSUPERIOR / CHIP

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000444 TX Practitioner - Pediatric Medicine 8123020302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M5368TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Assn for Pediatrics Pediatrics CurrentSince Oct 24, 2010 Accepting new patients
Hendrick Medical Center Past Accepting new patients

Locations

1850 Hickory St
Ste 102
Abilene, TX 79601
Phone (325) 677-2801

5302 Buffalo Gap Rd
Ste 100
Abilene, TX 79606
Phone (325) 677-2801

Interoperability endpoints

  • Direct secure messaging: amy@directaddress.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1851470561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST",
            "address_2": "SUITE #102",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012334",
            "telephone_number": "325-677-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST",
            "address_2": "SUITE #102",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012334",
            "telephone_number": "325-677-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLATCHY",
        "first_name": "AMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M5368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE HMO",
            "identifier": "152569100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184027402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8M2791",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR / CHIP",
            "identifier": "142911",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.