Active NPI
Amy McClatchy, MD
- Pediatrics Physician
- Abilene, TX
National Provider Identifier
1851470561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M5368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152569100 | Other | TX | FIRSTCARE HMO |
| 184027402 | Medicaid | TX | |
| 8M2791 | Other | TX | BLUE CROSS BLUE SHIELD |
| 142911 | Other | TX | SUPERIOR / 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5368 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Assn for Pediatrics | Pediatrics | Current | 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
- 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.
-
- Pediatrics Physician
- Abilene, TX
- NPI 1316957731
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.