Healthcare Provider Details

I. General information

NPI: 1992635734
Provider Name (Legal Business Name): SAMANTHA ERIN ADDY APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 POINT WEST PKWY
AMARILLO TX
79124-2193
US

IV. Provider business mailing address

7811 LEGEND AVE
AMARILLO TX
79121-1717
US

V. Phone/Fax

Practice location:
  • Phone: 806-510-4244
  • Fax:
Mailing address:
  • Phone: 432-889-1165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1106323
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: