AMANDA MICHELLE BURDETT-CRUZ (NPI# 1497398465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497398465 |
| Entity Type | Individual |
| Full Name | AMANDA MICHELLE BURDETT-CRUZ |
| Other Name | AMANDA MICHELLE CRUZ |
| Credential | LVN |
| Practice Address |
5137 Old Spanish Trl Bryan TX 77807-7697 |
| Practice Telephone | 9796762697 |
| Mailing Telephone | 9796762697 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 186098 | TX | Nursing Service Providers |
| N | 208000000X | Pediatrics | 186098 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5137 OLD SPANISH TRL |
| City | BRYAN |
| State | TX |
| Zip Code | 77807-7697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982298 | Kaylee Jackson | Psychologist | 8441 Hwy 47, St 1100, Bryan, TX 77807 | 2020-05-05 |
| 1457972192 | Melina Renee Cavazos | Psychologist | 8441 Highway 47, Clinical Building 1, Suite 1100, Bryan, TX 77807 | 2020-05-05 |
| 1891324448 | Radhika Shah | Student in an Organized Health Care Education/Training Program | 8447 Riverside Pkwy, Bryan, TX 77807 | 2020-04-06 |
| 1588648059 | Jerral Dewayne Taylor | Psychologist | 8441 Riverside Parkway, Clinical Building 1, Suite 1100, Bryan, TX 77807 | 2005-11-30 |
| 1457332959 | Robert Andrew Harper | Psychiatry & Neurology | 8441 Riverside Pkwy, Cb1, Suite 1400, Bryan, TX 77807 | 2005-11-10 |
| 1851918700 | Texas A&m University System Health Science Center | Nursing Care | 8441 Riverside Parkway, Ms 1359, Bryan, TX 77807 | 2020-06-26 |
| 1285255919 | Namrata Nanavaty | Psychologist | 8441 Riverside Parkway, Bryan, TX 77807 | 2020-05-05 |
| 1801422571 | Emily Kirsten Haque | Student in an Organized Health Care Education/Training Program | 8447 Riverside Parkway, 3081 Health Professions Education Building, Bryan, TX 77807 | 2020-03-13 |
| 1447885991 | Carly Elizabeth Mccord | Psychologist | 8441 Riverside Pkwy, Cb 1, Suite 1100, Bryan, TX 77807 | 2020-03-05 |
| 1639259088 | John M Hettema | Psychiatry & Neurology | 8441 Riverside Parkway, Cb1, Suite 1100, Bryan, TX 77807 | 2006-10-17 |
| Find all providers in zip 77807 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598236820 | Tiffany Harris | Licensed Practical Nurse | 1413 Tisdale St, Bryan, TX 77808-5558 | 2018-12-16 |
| 1710277876 | Shelly Marie Tate | Licensed Practical Nurse | 4357 County Road 10, Bryan, OH 43506-9717 | 2011-04-11 |
| 1043513963 | Rhonda S Shrider | Licensed Practical Nurse | 102 Oak Meadows Dr, Bryan, OH 43506-8526 | 2010-12-15 |
| 1134455124 | Laurie Ann Criswell | Licensed Practical Nurse | 327 S Allen St, Bryan, OH 43506-1883 | 2009-10-26 |
| 1841448529 | Mary Elizabeth Reader | Licensed Practical Nurse | 5383 County Road 12, Bryan, OH 43506-9734 | 2008-09-05 |
| 1609040385 | Mary M Lamantia | Licensed Practical Nurse | 435 E Wilson St, Bryan, OH 43506-1737 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234500 | Ka'leria Cunningham | Licensed Practical Nurse | 442 Carroll Ave, Wake Village, TX 75501-5733 | 2020-10-27 |
| 1073113387 | Tiffiany Hansen | Licensed Practical Nurse | 163 County Road 1856, Chico, TX 76431-3429 | 2020-10-27 |
| 1538769740 | Kerri Kathleen Benavides | Licensed Practical Nurse | 2424 Wilcrest Dr Ste 100, Houston, TX 77042-2753 | 2020-10-27 |
| 1144828740 | Gabriella M Carrillo | Licensed Practical Nurse | 1712 E 13th St, Monahans, TX 79756-2129 | 2020-10-15 |
| 1366040198 | Michelle Merritt Gary | Licensed Practical Nurse | 118 Merritt Ln, Hemphill, TX 75948-3137 | 2020-10-14 |
| 1508464652 | Ariana Wilson | Licensed Practical Nurse | 1125 Elm St, Abilene, TX 79602-3718 | 2020-10-12 |
| 1962009431 | Victoria A Jernigan | Licensed Practical Nurse | 250 County Road 4311, Hondo, TX 78861-5035 | 2020-10-07 |
| 1558968271 | Dana Marie Griffin | Licensed Practical Nurse | 9747 Harbor Mist Ln, Converse, TX 78109-1836 | 2020-10-06 |
| 1184221772 | Coretta Renee Thomas | Licensed Practical Nurse | 1204 G W Jackson Ave, Corsicana, TX 75110-5604 | 2020-10-06 |
| 1194322032 | Flor Karime Jurado | Licensed Practical Nurse | 1410 Cowan Street, Pecos, TX 79772 | 2020-10-05 |
| 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.