P Praxis·MD
● Active Type 1 · Individual

MS. Amanda N Bailey, REPT, CNIM

Specialist/Technologist, Other·Tyler, TX· NPI 1720435340 · Enumerated 2016 · 10 years on NPI
Bailey is 1 of 6 specialist/technologist, other providers in Tyler and 1 of 64 in Texas.
NPI age
10 years
Enumerated 2016-05-24
Primary specialty
Specialist/Technologist, Other
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-04-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 64 active specialist/technologist, other providers in Texas.

NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
2
In the 42% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-05Enumerated in NPPES
2016 2026

Where they practice

Practice location
1356 Old Creek Dr
Tyler, TX 757037642
📞 9035348812fax 9039399149
Mailing address
1356 Old Creek Dr
Tyler, TX 757037642
📞 9035348812fax 9039399149

Specialties

  • Specialist/Technologist, Other Primary
    Definition to come...
    TX license #4023 taxonomy 246ZE0500X
  • Specialist/Technologist, Other
    Definition to come...
    taxonomy 246ZE0600X
  • Technician, Other
    Definition to come...
    TX license #4023 taxonomy 2472E0500X

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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