Active NPI
Amy E Quinn, NP
- Family Nurse Practitioner
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP122235
- Practice address
- 3030 North St
Suite 420
Beaumont, TX 77702-1433 - Phone
- (409) 835-2900
- Fax
- (409) 835-1350
- NPI assigned
- Aug 13, 2012
- Last updated
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP122235 | TX | |
| Nurse Practitioner | 363L00000X | 737292 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP122235 | TX | Primary |
Addresses
Primary practice location
3030 North St
Suite 420
Beaumont, TX 77702-1433
Mailing address
PO Box 846098
Dallas, TX 75284-5098
Phone (903) 606-6400
Other practice location 1
151 Country Lane Dr
Lumberton, TX 77657-6803
Phone (409) 755-3010
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341858403 | Medicaid | TX | |
| P02601537 | Other | TX | MCRR |
| 1K2013 | Other | TX | MEDICARE |
| 341858401 | Medicaid | TX |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3030 N St
420 Christus St. Elizabeth Medical Group Be
Beaumont, TX 77702-1434
Phone (409) 835-2900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 737292 | TX | MD | Nurse Practitioner |
| AP122235 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Nurse Practitioner | Current | Accepting new patients |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients |
Locations
3030 North St
Ste 420
Beaumont, TX 77702
Phone (409) 835-2900
919 Hidden Rdg
Fl 6
Irving, TX 75038
Phone (469) 282-2711
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
151 Country Lane Dr
Lumberton, TX 77657
Phone (409) 751-0200
2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- aquinn239808@christushealth.direct-ci.net
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba CHRISTUS Physician Group
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
Nurse Practitioner
-
dba CHRISTUS Physician Group
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba Trinity Clinic Family Practice
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Southeast Texas - St. Elizabeth
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1912254566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845098",
"telephone_number": "903-606-6400",
"fax_number": "903-606-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 NORTH ST",
"address_2": "SUITE 420",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021433",
"telephone_number": "409-835-2900",
"fax_number": "409-835-1350"
}
],
"practiceLocations": [
{
"address_1": "151 Country Lane Dr",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "TX",
"postal_code": "776576803",
"country_code": "US",
"telephone_number": "409-755-3010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINN",
"first_name": "AMY",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2023-08-24",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP122235",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "737292",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP122235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341858403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCRR",
"identifier": "P02601537",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1K2013",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341858401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Iqra Qazi, MD
- Emily Le Linh Phuong Quach, PHARMD
- Quality Care Sitter Service, Inc. (dba Quality Care Services, Inc.)
- Quality Care Sitter Services (Quality Care Services)
- Earl Jay Boyd Quigley, DDS
- Carlee Quinn
- Dario William Quinones, PHARMD
- Elaine Quinones, OT
- Shama P. Quraishi, M.D.
- Absar Ahmed Qureshi, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.