Registry record
- NPI
- 1710177464
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 808 Keller Pkwy
Keller, TX 76248 - Phone
- 8174312573
- In the registry since
- July 30, 2007
- Last NPPES update
- October 15, 2010
- Sole proprietor
- No
- License
- PA02797 (TX)
At this location
5 other providers in our data list 808 Keller Pkwy, Keller as a practice address:
- Mallory Lambert Carletti, PA-C
Physician Assistant · NPI 1134593957
- Mr. Jeffrey Lee Martz, PA-C
Medical Physician Assistant · NPI 1376013771
- Shannon Alysha McCaskey, FNP-BC
Family Nurse Practitioner · NPI 1023341732
- Lucille Kathryn McLean, APRN
Family Nurse Practitioner · NPI 1548091945
- Devon Price, MSN, APRN, FNP-C
Family Nurse Practitioner · NPI 1336731124
In context
The NPI number of Amanda Wickson is 1710177464. They are a Physician Assistant in Keller, Texas.
Amanda Wickson is one of 20 Physician Assistants in Keller and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 18 years, since July 30, 2007.
Frequently asked questions
What is NPI 1710177464?
NPI 1710177464 is the 10-digit National Provider Identifier assigned to Amanda Wickson, a Physician Assistant practicing in Keller, Texas. The record has been in the NPPES registry since July 30, 2007.
How do I verify this provider?
Cross-check NPI 1710177464 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA02797 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as October 15, 2010. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.