MS. AMANDA RAYE JUAREZ (NPI# 1104430651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104430651 |
| Entity Type | Individual |
| Full Name | MS. AMANDA RAYE JUAREZ |
| Credential | CPNP-PC |
| Practice Address |
1500 Cooper St Fl 2 Fort Worth TX 76104-2710 |
| Mailing Address |
Po Box 733784 Dallas TX 75373-3784 |
| Practice Telephone | 6828851990 |
| Mailing Telephone | 6828856483 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1011770 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1558444372 | Amanda Kaylyn Juarez | Dentist | 1300 Post Oak Blvd Ste 1620, Houston, TX 77056-3013 | 2006-10-23 |
| 1902391659 | Amanda Juarez | Social Worker | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2018-06-26 |
| 1780752147 | Amanda Erika Juarez | Counselor | 160 E Virginia St #280, San Jose, CA 95112 | 2006-12-01 |
| Street Address |
1500 COOPER ST FL 2 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800257 | Dorothy L. Osborne | Nurse Practitioner | 6420 Altamesa Blvd Ste 100, Fort Worth, TX 76132-3553 | 2020-08-01 |
| 1972072510 | Peter Karera Ndungi | Nurse Practitioner | 1341 Cattle Crossing Dr, Fort Worth, TX 76131-5333 | 2018-11-13 |
| 1063947117 | Metroplex Integrative Rehabilitation Services | Nurse Practitioner | 4441 Bryant Irvin Rd N., Fort Worth, TX 76107 | 2017-04-26 |
| 1245232297 | Sundie Wright Ellis | Nurse Practitioner | 10717 Lipan Trl, Fort Worth, TX 76108-6924 | 2005-06-02 |
| 1578179636 | Lisa Guerra | Nurse Practitioner | 750 8th Ave Ste 200, Fort Worth, TX 76104-2500 | 2020-09-23 |
| 1871109124 | Caitlyn R Praytor | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-09-22 |
| 1386281871 | Emily Susan Larkin | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-12-04 |
| 1295371037 | Katelyn M Okaro | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2019-11-26 |
| 1174166573 | Caroline W Sims | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2019-10-18 |
| 1710450721 | Stephanie Billings | Nurse Practitioner | 908 W Terrell Ave N, Fort Worth, TX 76104-3034 | 2019-01-03 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on MS. AMANDA RAYE JUAREZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.