Provider Demographics
NPI:1508015322
Name:SAPPINGTON, AMY D (NP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:D
Last Name:SAPPINGTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 QUAIL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1608
Mailing Address - Country:US
Mailing Address - Phone:806-353-6400
Mailing Address - Fax:806-358-2662
Practice Address - Street 1:705 QUAIL CREEK DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-1608
Practice Address - Country:US
Practice Address - Phone:806-353-6400
Practice Address - Fax:806-358-2662
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX690451363L00000X
TXAP117281363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197535101Medicaid
TX197535101Medicaid