AMANDA RIAN MCDANIELS (NPI# 1295378966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295378966 |
| Entity Type | Individual |
| Full Name | AMANDA RIAN MCDANIELS |
| Practice Address |
111 E Fm 120 Ste 104 Pottsboro TX 75076-7801 |
| Mailing Address |
5012 S Us Hwy 75 Suite 300, Attn Billing Denison TX 75020-4587 |
| Practice Telephone | 9037863911 |
| Practice Fax Number | 9037868630 |
| Mailing Telephone | 9037863911 |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
32232 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1807 W University Blvd, Durant, OK 747013011 | 5809202273 | 5809209978 |
| 3126 W Fm 120, Denison, TX 750201249 | 9034167544 | 9034167545 |
| 732 Chatsworth Dr, Anna, TX 754090239 | 9035050871 |
| Street Address |
111 E FM 120 STE 104 |
| City | POTTSBORO |
| State | TX |
| Zip Code | 75076-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615766 | Lauren Ashley Black | Pharmacist | 11205 N. Hwy 289, Pottsboro, TX 75076 | 2020-06-26 |
| 1700293453 | Lake Texoma Chiropractic | Chiropractor | 81750 N State Hwy 289 Ste 102, Pottsboro, TX 75076 | 2014-07-15 |
| 1750717948 | Deborah Lynn Burchfield | Nurse Practitioner | 81750 N State Hwy 289, Ste 101, Pottsboro, TX 75076 | 2013-09-19 |
| 1710227202 | Brookshire Grocery Company | Pharmacy | 11205 N Hwy 289, Pottsboro, TX 75076 | 2013-02-21 |
| 1275149692 | Steven Michael Fairchild | Pharmacist | 11205 N. Hwy 289, Pottsboro, TX 75076 | 2020-09-21 |
| 1750731493 | Rosa Villanueva | Physical Therapy Assistant | 190 Civic Cir, Suite 210, Lewisville, TX 75076 | 2016-06-14 |
| 1871929737 | Lake Texoma Health Clinic, Pllc | Clinic/Center | 81750 N State Hwy 289, Suite 101, Pottsboro, TX 75076 | 2013-09-23 |
| 1578659314 | Family Pharmacy of Pottsboro | Pharmacy | 111 Hiway 120e, Suite 101, Pottsboro, TX 75076-0000 | 2006-10-05 |
| 1194048819 | James Boothby Leblanc | Counselor | 105 Cardinal Lane, Pottsboro, TX 75076-0555 | 2010-03-09 |
| 1245391473 | Michael Arthur Kennedy | Physician Assistant | 111 E Hwy 120, Ste. 104, Pottsboro, TX 75076-3008 | 2006-12-12 |
| Find all providers in zip 75076 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750717948 | Deborah Lynn Burchfield | Nurse Practitioner | 81750 N State Hwy 289, Ste 101, Pottsboro, TX 75076 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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| 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.