AMANDA ROSE ROSALES (NPI# 1114272887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114272887 |
| Entity Type | Individual |
| Full Name | AMANDA ROSE ROSALES |
| Credential | FNP |
| Practice Address |
125 Blue Heron Dr Montgomery TX 77316-3183 |
| Mailing Address |
1803 W White Oak Ter Ste B Conroe TX 77304-3675 |
| Practice Telephone | 2812030070 |
| Mailing Telephone | 7135401260 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
759463 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 334610801 | 05 | |
| TX | BCBS | 8335NK | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25144 Grogans Park Dr, The Woodlands, TX 773802167 | 2812030070 | |
| 336 League Line Rd, Ste 200, Conroe, TX 77304 | 2812030070 | |
| 6875 Fm 1488 Rd Ste 300, Magnolia, TX 773544522 | 2812030070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205315322 | Amanda Rosales | Specialist/Technologist | 871 Old Alice Rd Ste 100, Brownsville, TX 78520-8269 | 2018-08-09 |
| Street Address |
125 BLUE HERON DR |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77316-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356394084 | Agnes C. Kaufman | Chiropractor | 125 Blue Heron Dr, Suite B, Montgomery, TX 77316-3183 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940494 | Alliance Mri Woodforest LLC | Clinic/Center | 750 Fish Creek Thoroughfare, Suite 180, Montgomery, TX 77316 | 2020-04-07 |
| 1457997058 | Kristynik Eye Care Pllc | Optometrist | 791 Fish Creek Thoroughfare, Suite 50, Montgomery, TX 77316 | 2019-11-19 |
| 1710532684 | Knee Scooters Houston LLC | Durable Medical Equipment & Medical Supplies | 9937 Chestnut Ct, Montgomery, TX 77316 | 2019-08-07 |
| 1134772270 | Sandstone Medical | Clinic/Center | 795 Fish Creek Thoroughfare Ste 270, Montgomery, TX 77316 | 2019-07-18 |
| 1356801195 | Woodforest Fine Dentistry | Clinic/Center | 791 Fish Creek Thoroughfare Ste 40, Montgomery, TX 77316 | 2019-03-20 |
| 1467923169 | Jody Michele Reed | Counselor | 6360 Honea Egypt Rd, Montgomery, TX 77316 | 2018-12-06 |
| 1811490949 | Gregory Crocker | Chiropractor | 125 Blue Herron Dr Suite B, Montgomery, TX 77316 | 2018-03-15 |
| 1114302122 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2180 Woodforest Parkway N, Montgomery, TX 77316 | 2015-07-21 |
| 1518376698 | Jennifer Miller Hobock | Dentist | 2300 Woodforest Pkwy N, Ste 700, Montgomery, TX 77316 | 2014-08-04 |
| 1861815342 | Reese Ochoa | Chiropractor | 125 Blue Heron Dr Ste B, Montgomery, TX 77316 | 2014-02-04 |
| Find all providers in zip 77316 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 77316 |
Please comment or provide details below to improve the information on AMANDA ROSE ROSALES.
| 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.