AMARILLO PEDIATRIC CLINIC PLLC NPI 1164892956

NPI Information

  • NPI: 1164892956
  • Provider Name: AMARILLO PEDIATRIC CLINIC, PLLC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Address: 1901 MEDI PARK DR
    STE 65
    AMARILLO, TX
    ZIP 79106
  • Phone: (806) 468-4317

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NPI Details

AMARILLO PEDIATRIC CLINIC, PLLC is a nurse practitioner in Amarillo, TX. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. AMARILLO PEDIATRIC CLINIC, PLLC NPI is 1164892956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1901 MEDI PARK DR
STE 65
AMARILLO, TX
ZIP 79106-110
Phone: (806) 468-4317

The provider's authorized official is Erica Leathers .
The authorized official title is Managing Partner and has the following contact phone number (806) 359-1046.

The enumeration date for this NPI number is 10/6/2015 and was last updated on 10/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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