Individual provider Active NPI

Selene McMennamy

  • Surgical Assistant
  • Amarillo, TX
National Provider Identifier
1962319012
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
208198 Issued in TX
Practice address
1301 S Coulter St Ste 413
Amarillo, TX 79106-1766
Phone
(806) 677-7952
Fax
(806) 353-6081
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X 208198 TX Primary

Addresses

Primary practice location

1301 S Coulter St Ste 413
Amarillo, TX 79106-1766

Mailing address

3910 Danbury Dr
Amarillo, TX 79109-4032
Phone (806) 677-7952

Other practice location 1

1010 S Coulter St
Amarillo, TX 79106-1781
Phone (806) 418-8870

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1962319012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 DANBURY DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094032",
            "telephone_number": "806-677-7952",
            "fax_number": "806-353-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST STE 413",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061766",
            "telephone_number": "806-677-7952",
            "fax_number": "806-353-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 S Coulter St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061781",
            "country_code": "US",
            "telephone_number": "806-418-8870",
            "fax_number": "806-418-6684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMENNAMY",
        "first_name": "SELENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "208198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.