AMANDA CUELLAR (NPI# 1275813560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275813560 |
| Entity Type | Individual |
| Full Name | AMANDA CUELLAR |
| Credential | N.P. |
| Practice Address |
2061 Ross Avenue Suite B El Centro CA 92243 |
| Mailing Address |
516 West Aten Road Suite 2 Imperial CA 92251 |
| Practice Telephone | 7603525800 |
| Practice Fax Number | 7603520087 |
| Mailing Telephone | 7603557730 |
| Mailing Fax Number | 7603557731 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN563858 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | RN563858 | 01 |
| Street Address |
2061 ROSS AVENUE SUITE B |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| 1831629252 | Ida Selena Obeso-martinez | Nurse Practitioner | 2061 Ross Ave Ste B, El Centro, CA 92243-3687 | 2017-06-18 |
| 1518570415 | Dawn Michele Kelley-lewis | Nurse Practitioner | 2026 N Imperial Ave Ste C, El Centro, CA 92243-1607 | 2020-08-28 |
| 1164043782 | Gabriel Hernandez | Nurse Practitioner | 1501 Ocotillo Dr Ste C, El Centro, CA 92243-4217 | 2020-05-05 |
| 1588142533 | Aaron James Stirling | Nurse Practitioner | 1415 Ross Ave, El Centro, CA 92243 | 2018-08-01 |
| 1942736186 | Alejandra Villegas | Nurse Practitioner | 2302 Merrill Center Dr, El Centro, CA 92243-7526 | 2017-05-09 |
| 1710371794 | Jose Daniel Navarro | Nurse Practitioner | 1415 Ross Ave, El Centro, CA 92243-4306 | 2015-03-26 |
| 1689881310 | Susan Vicuna Bravo | Nurse Practitioner | 1415 Ross Ave, Calexico Outpatient Center, El Centro, CA 92243-4306 | 2007-05-16 |
| 1992887459 | Mitzi S Gragson | Nurse Practitioner | 495 E Orange Ave, El Centro, CA 92243-2744 | 2006-10-20 |
| 1124079702 | Celeste L Armenta | Nurse Practitioner | 2205 Ross Ave, Suite 101, El Centro, CA 92243-3623 | 2006-05-16 |
| Find all providers in EL CENTRO | ||||
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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.