AMANDA MENDEZ (NPI# 1487780540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487780540 |
| Entity Type | Individual |
| Full Name | AMANDA MENDEZ |
| Credential | NP |
| Practice Address |
2011 Prospect Ave Fort Worth TX 76164-8260 |
| Mailing Address |
Po Box 732973 Dallas TX 75373-2973 |
| Practice Telephone | 8177024871 |
| Practice Fax Number | 8176257443 |
| Mailing Telephone | 8177028450 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP115630 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
668519 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX NP LICENSE | 668519 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740763416 | Amanda Rose Mendez | Case Manager/Care Coordinator | 419 E 7th St Ste 207, The Dalles, OR 97058-2676 | 2018-09-10 |
| 1447615547 | Amanda Mendez | Occupational Therapy Assistant | 10701 Main St, Fairfax, VA 22030-6904 | 2015-12-16 |
| 1982035564 | Amanda Mendez | Counselor | 1202 W Civic Center Dr, Santa Ana, CA 92703-2252 | 2013-12-06 |
| Street Address |
2011 PROSPECT AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76164-8260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648561 | Karissa Brianna Rodriguez | Registered Nurse | 2215 Pearl Avenue, Fort Worth, TX 76164 | 2020-08-02 |
| 1972609501 | Patricia Gail Woolford | Dentist | 612 Nw 25th St, Ft Worth, TX 76164 | 2006-09-14 |
| 1215428511 | Veronica Salaices-fraire | Physician Assistant | 229 Ne 28th St, Fort Worth, TX 76164 | 2018-05-22 |
| 1831134667 | Rose S Simonian | Obstetrics & Gynecology | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2006-06-17 |
| 1316457278 | Jamie Renee Shields | Nurse Practitioner | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2017-10-05 |
| 1457448482 | Glory Lynn Windmiller | Dentist | 1966 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-10-10 |
| 1881611382 | Melissa Kurkjian Greer | Internal Medicine | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-07-17 |
| 1053367763 | Usrc Tarrant Lp | Clinic/Center | 1978 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-05-25 |
| 1356898092 | Yaimi Jaramillo-ortiz | Physician Assistant | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2016-09-09 |
| 1700044971 | Atul M Masters | Dentist | 1612 Nw 28th St, Fort Worth, TX 76164-6843 | 2008-05-23 |
| Find all providers in zip 76164 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556341 | Sarah R Tabor | Nurse Practitioner | 4819 El Campo Ave, Fort Worth, TX 76107-4917 | 2020-10-21 |
| 1336747963 | Thomas Liles | Nurse Practitioner | 4 Carlson Ct, Fort Worth, TX 76119-5901 | 2020-10-15 |
| 1518565597 | Khyatiben Harsh Parikh | Nurse Practitioner | 8121 Belgian Blue Ct, Fort Worth, TX 76131-1734 | 2020-10-13 |
| 1225645906 | Manju Karki K C | Nurse Practitioner | 4812 Meadow Falls Dr # A, Fort Worth, TX 76244-2308 | 2020-09-28 |
| 1497361778 | Mulikat Dossou | Nurse Practitioner | 8024 Valley Crest Dr, Fort Worth, TX 76120-5651 | 2020-09-22 |
| 1275148793 | Bianca Adrianna Agnello | Nurse Practitioner | 8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676 | 2020-09-11 |
| 1356955363 | Alba C. Rivas | Nurse Practitioner | 6958 Legato Ln, Fort Worth, TX 76134-3727 | 2020-09-07 |
| 1043824139 | Traci D Huff | Nurse Practitioner | 7121 Sundance Ln, Fort Worth, TX 76179-2533 | 2020-09-04 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1619589108 | Megan King | Nurse Practitioner | 9734 N Beach St Ste 100, Fort Worth, TX 76244-6185 | 2020-08-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76164 |
Please comment or provide details below to improve the information on AMANDA MENDEZ.
| 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.