AMANDA M SUSTAITA (NPI# 1568738730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568738730 |
| Entity Type | Individual |
| Full Name | AMANDA M SUSTAITA |
| Credential | NP |
| Practice Address |
12221 Merit Dr Ste. 1600 Dallas TX 75251-2202 |
| Practice Telephone | 2142171935 |
| Practice Fax Number | 2142171956 |
| Mailing Telephone | 2142171935 |
| Mailing Fax Number | 2142171956 |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2012-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
730895 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 299980701 | 05 | |
| TX | 299980702 | 05 |
| Street Address |
12221 MERIT DR STE. 1600 |
| City | DALLAS |
| State | TX |
| Zip Code | 75251-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831162874 | Dipauni S Doshi | Internal Medicine | 12221 Merit Dr, Ste 1500, Dallas, TX 75251-2202 | 2006-02-09 |
| 1962959007 | Rebecca Conroy | Nurse Practitioner | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-09-07 |
| 1164884599 | Lindsey Lawrence | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-03-24 |
| 1972965770 | Ifeatu Okafor | Physician Assistant | 12221 Merit Dr, #1500, Dallas, TX 75251-2202 | 2016-03-22 |
| 1790145456 | Beverly Catherine Weickgenant | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-02-24 |
| 1235596578 | Kimberly Ann Lyon | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-01-18 |
| 1619364874 | Frisco Spine, P.a. | Neurological Surgery | 12221 Merit Dr, Suite 620, Dallas, TX 75251-2202 | 2015-04-24 |
| 1306288634 | Questcare Surgicalists Pllc | Surgery | 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | 2013-07-29 |
| 1912340431 | Christopher Terry Kennedy | Emergency Medicine | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2013-04-15 |
| 1265772503 | Beverly L Farris | Nurse Practitioner | 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | 2013-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387317 | Patricia Maria Torres | Specialist/Technologist | 12270 Coit Rd. #870, Dallas, TX 75251 | 2018-12-13 |
| 1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
| 1346650496 | Joseph Hughes Snow Iv | Emergency Medicine | Envision, 12221 Merit Dr Suite 1500, Dallas, TX 75251 | 2014-04-29 |
| 1033558317 | Emily B. Becher | Registered Nurse | 12221 Ment Drive, Suite 1500, Dallas, TX 75251 | 2013-06-19 |
| 1164713178 | Feraidoon Aminzadeh | Chiropractor | 8001 Lbj Freeway, Suite 401, Dallas, TX 75251 | 2011-04-25 |
| 1801035738 | Bharti V Bhakta | Clinic/Center | 7750 Lbj Freeway, Dallas, TX 75251 | 2009-02-17 |
| 1114111549 | Merit Comprehensive Care | Clinic/Center | 12200 Park Central Dr., Suite 189, Dallas, TX 75251 | 2007-08-29 |
| 1790906683 | Amee Godkin Nash | Counselor | 7808 Clodus Field Drive, Dallas, TX 75251 | 2007-05-01 |
| 1740302561 | Asjad M Khan | Internal Medicine | 1221 Merit Drive, 1610, Dallas, TX 75251 | 2007-04-04 |
| 1891845681 | Zachary A Goldman | Emergency Medicine | Questcare Partners, 12221 Merit Dr #1610, Dallas, TX 75251 | 2007-01-12 |
| Find all providers in zip 75251 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on AMANDA M SUSTAITA.
| 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.