Individual provider Active NPI

Amanda Denyse Hughes, OTC, ATC

  • Athletic Trainer
  • Fort Worth, TX
National Provider Identifier
1912220021
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT4810 Issued in TX
Practice address
7257 Hawkins View Dr
Fort Worth, TX 76132-3921
Phone
(817) 735-9397
Fax
(817) 735-8340
NPI assigned
Mar 3, 2010
Last updated
Mar 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT001635 GA
Athletic Trainer 2255A2300X AT4810 TX Primary

Addresses

Primary practice location

7257 Hawkins View Dr
Fort Worth, TX 76132-3921

Mailing address

7257 Hawkins View Dr
Fort Worth, TX 76132-3921
Phone (817) 735-9397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT001635GAMDAthletic Trainer
AT4810TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1912220021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 HAWKINS VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323921",
            "telephone_number": "817-735-9397",
            "fax_number": "817-735-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 HAWKINS VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323921",
            "telephone_number": "817-735-9397",
            "fax_number": "817-735-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "AMANDA",
        "middle_name": "DENYSE",
        "name_prefix": "Miss",
        "credential": "OTC, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001635",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.