AMANDA SHAY TICE


Address: 1000 Houston Street, Suite 200, Fort Worth, TX 76102
Phone: 8173360551

AMANDA SHAY TICE (NPI# 1740629591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740629591
Entity Type Individual
Full Name AMANDA SHAY TICE
Other Name AMANDA SHAY MEDLIN
Credential ACNP
Practice Address 1000 Houston Street
Suite 200
Fort Worth
TX 76102
Practice Telephone 8173360551
Practice Fax Number 8173393940
Mailing Telephone 8173360551
Mailing Fax Number 8173393940
Enumeration Date 2013-06-14
Last Update Date 2015-12-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
703553 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1000 HOUSTON STREET
SUITE 200
City FORT WORTH
State TX
Zip Code 76102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073584561 Gerard Poche Anesthesiology 1000 Houston Street, Suite 200, Fort Worth, TX 76102 2006-02-01
1598081580 Julie Anne Campbell Specialist/Technologist, Other 1000 Houston Street, Suite 200, Fort Worth, TX 76102 2010-04-15
1306997515 Oliver Lee Kesterson IIi Neurological Surgery 1000 Houston Street, Suite 200, Fort Worth, TX 76102-6415 2007-01-15
1275545261 Margaret M Norstebon Physical Therapist 1000 Houston Street, Suite 200, Fort Worth, TX 76102 2006-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285113746 Deirdre P Browne Counselor 1500 E El Paso, Fort Worth, TX 76102 2018-08-07
1740784206 Cvs Pharmacy Inc Pharmacy 515 Houston St, Fort Worth, TX 76102 2018-03-20
1316448061 Diondra Deshawn Narcisse Licensed Vocational Nurse 1314 Lake Street, Fort Worth, TX 76102 2018-02-27
1649779943 Carmela A Solis Specialist/Technologist, Other 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 2018-02-02
1104324516 Vicki Webb-baker Health Educator 512 Lamar Street, Suite 400, Fort Worth, TX 76102 2018-01-31
1235647678 Brianna Marie Keister Occupational Therapist 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 2018-01-19
1437507910 Medical Hearing Services, LLC Hearing Aid Equipment 1201 Summit Avenue, Fort Worth, TX 76102 2016-05-25
1891171476 Karis Starke Physical Therapy Assistant 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 2015-08-05
1265839344 Fm Katy Dental and Orthodontics, Pllc Dentist 100 E 15th Ste 520, Fort Worth, TX 76102 2014-12-04
1093134512 Superior Evaluation Services General Practice 420 Throckmorton Suite 200, Ft. Worth, TX 76102 2014-04-11
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1184223786 Vincy Saji Mathew Nurse Practitioner 8804 Viridian Ln, Fort Worth, TX 76123-4030 2020-10-23
1821635814 Sarah Elizabeth Martin Nurse Practitioner 4212 Selkirk Dr W, Fort Worth, TX 76109-5328 2019-12-09
1568930360 Chelsea Lynne Outhier Nurse Practitioner 4628 Belladonna Dr, Fort Worth, TX 76123-1841 2018-11-09
1265900567 Sarah Jane Armendarez Nurse Practitioner 6715 Bluffview Dr, Fort Worth, TX 76132-3062 2018-11-05
1548736366 Nina Quijano Nurse Practitioner 8209 Whistling Duck Dr, Fort Worth, TX 76118-7623 2018-10-18
1275015612 Falguni Udayan Patel Nurse Practitioner 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 2018-09-02
1487159612 Jose Sanchez Nurse Practitioner 3540 Wharton Dr, Fort Worth, TX 76133-2121 2018-03-29
1376057752 Shabnum Shakeel Zaman Nurse Practitioner 816 Stone Water Dr Apt 1015, Fort Worth, TX 76120-2798 2017-11-21
1376081752 Cheryl D. Mitchell Nurse Practitioner 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 2017-02-06
1184167561 Reynaldo Daba II Nurse Practitioner 1412 May St, Fort Worth, TX 76104-7639 2016-12-02
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Competitor

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City FORT WORTH
Zip Code 76102

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Dataset Information

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.

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