Amy B Souter, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

712711 Issued in TX

Practice address

403 State Highway 110 N
Whitehouse, TX 75791-3109

Phone

(903) 839-1000

Fax

(903) 839-4000

NPI assigned

Jul 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

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

Specialty

Nurse Practitioner

Education

Texas Tech University Health Science Center School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Charles R Gordon MD PAGroup PAC ID 8729992052, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864
• Ut Health East Texas Rehabilitation Hospital Inpatient rehabilitation facility, Tyler, TX, CCN 453072

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: amy.souter.p1@direct.precisionspinecare.nextgenshare.com

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.

• Charles R Gordon MD PA

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1982717955
  Medicare reassignment Care Compare group NPD
• Charles R Gordon MD PA

  • Interventional Pain Medicine Physician
  • Lufkin, TX
  • NPI 1720513328
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Tyler, TX
  • NPI 1174021695

  Inpatient rehabilitation facility

  Care Compare affiliation
• Texas Spine and Joint Hospital, LLC

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1942292255
  Care Compare affiliation

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1881972727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13027 STATE HIGHWAY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036548",
            "telephone_number": "903-839-1000",
            "fax_number": "903-839-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 STATE HIGHWAY 110 N",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757913109",
            "telephone_number": "903-839-1000",
            "fax_number": "903-839-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTER",
        "first_name": "AMY",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "712711",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "712711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8EM889",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "1881972727",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01436333",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881972727",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2867178-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul John Schmidt Jr., M.S., RPH.
• Hannah Nicole Schwartz, CCC-SLP
• Shuptrine Family Practice
• Smith & Moore Night Owl Transportation
• Kelly Smith, LPC
• Special Needs Solutions, LLC
• Natalie Nicole Starkey, APRN, FNP-C
• Laurie Jasalyn Stone, PT
• Alicia N Suarez, FNP
• Jason Lee Taylor

• Family Nurse Practitioner in Whitehouse, TX
• Providers in Whitehouse, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.
• 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.