NPI age
11 years
Enumerated 2014-09-16
● Active
Type 1 · Individual
Amanda R Blalock, NP
Blalock is 1 of 31 nurse practitioner providers in Tyler and 1 of 5095 in Texas.
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5095 active nurse practitioner providers in Texas.
NPI age
11 years
↑ 7 yr above median (4 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-09Enumerated in NPPES
2014
2026
Where they practice
Practice location
1800 Shiloh Rd Ste 104
Tyler, TX 757032456
Mailing address
1800 Shiloh Rd Ste 104
Tyler, TX 757032456
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
2323 W Front St
Tyler, TX 757027747
Location 3
1174 E Lennon Dr Ste C
Emory, TX 754403255
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 407984001 |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in Tyler in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.