Individual provider Active NPI

Amanda Luddy, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1962094896
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029919 Issued in TX
Practice address
530 Manchester LN
Austin, TX 78737-4543
Phone
(512) 532-9112
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1029919 TX Primary

Addresses

Primary practice location

530 Manchester LN
Austin, TX 78737-4543

Mailing address

530 Manchester LN
Austin, TX 78737-4543

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210821000315 TX Practitioner - Nurse Practitioner 7517362015 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1029919TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Observation Medicine Services of Texas PLLC CurrentSince Aug 12, 2021 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Aug 12, 2021 Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations (25 of 46)

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

4900 Mueller Blvd
#2
Austin, TX 78723

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-7400

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

2073 Ruben Torres SR Blvd
Brownsville, TX 78526
Phone (956) 389-1736

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

3701 Center St
Deer Park, TX 77536
Phone (281) 523-2880

1725 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 389-4382

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

1635 S Voss Rd
Houston, TX 77057
Phone (713) 441-8020

18300 Houston Methodist Dr
Houston, TX 77058
Phone (281) 206-9020

18220 State Highway 249
Ste 475
Houston, TX 77070
Phone (832) 698-5511

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1751 Crystal Falls Pkwy
Leander, TX 78641
Phone (512) 528-7000

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

18230 FM 1488 Rd
Ste 101
Magnolia, TX 77354
Phone (281) 259-1410

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1962094896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MANCHESTER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MANCHESTER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374543",
            "telephone_number": "512-532-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDDY",
        "first_name": "AMANDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.