Active NPI
Amy L Offutt, MD
- Family Medicine Physician
- Marble Falls, TX
National Provider Identifier
1891777314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K6491
- Practice address
- 707 3Rd St
Marble Falls, TX 78654-5720 - Phone
- (830) 693-7546
- Fax
- (830) 693-9194
- NPI assigned
- Nov 18, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K6491 | TX | Primary |
Addresses
Primary practice location
707 3Rd St
Marble Falls, TX 78654-5720
Mailing address
707 3Rd St
Marble Falls, TX 78654-5720
Phone (830) 693-7546
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132081100 | Other | TX | FIRSTCARE |
| 143203103 | Medicaid | TX | |
| 143203102 | Medicaid | TX | |
| 8398K0 | Other | TX | BCBS |
| 81392 | Other | TX | SCOTT AND WHITE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2013 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6491 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1891777314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 3RD ST",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786545720",
"telephone_number": "830-693-7546",
"fax_number": "830-693-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 3RD ST",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786545720",
"telephone_number": "830-693-7546",
"fax_number": "830-693-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFUTT",
"first_name": "AMY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K6491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "132081100",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143203103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143203102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8398K0",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCOTT AND WHITE",
"identifier": "81392",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marble Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.