Individual provider Active NPI

Amber Amy Chalas, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1912329475
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08884 Issued in TX
Practice address
5749 San Felipe St
Houston, TX 77057-3101
Phone
(208) 251-3418
Fax
(855) 247-8787
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08884 TX Primary

Addresses

Primary practice location

5749 San Felipe St
Houston, TX 77057-3101

Mailing address

1009 Windcross CT
Ste 101
Franklin, TN 37067-2678
Phone (615) 224-5438

Other identifiers 1

IdentifierTypeStateIssuer
360473YWZ9OtherTXMEDICARE ID

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)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1912329475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 WINDCROSS CT",
            "address_2": "STE 101",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672678",
            "telephone_number": "615-224-5438",
            "fax_number": "855-247-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5749 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770573101",
            "telephone_number": "208-251-3418",
            "fax_number": "855-247-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALAS",
        "first_name": "AMBER",
        "middle_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "360473YWZ9",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.