AMANDA DELISE HUERTA


Address: 4134 Eaton St Apt 3, Kansas City, KS 66103-3345
Phone: 8162660060

AMANDA DELISE HUERTA (NPI# 1467910034) 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) 1467910034
Entity Type Individual
Full Name AMANDA DELISE HUERTA
Practice Address 4134 Eaton St Apt 3
Kansas City
KS 66103-3345
Practice Telephone 8162660060
Mailing Telephone 8162660060
Enumeration Date 2019-03-03
Last Update Date 2019-03-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Providers AMANDA HUERTA

NPI Name Taxonomy Address Enumeration
1811497878 Amanda Lyn Huerta Licensed Vocational Nurse 4105 Sandalwood Ct, Forney, TX 75126-5278 2018-02-16

Office Location

Street Address 4134 EATON ST APT 3
City KANSAS CITY
State KS
Zip Code 66103-3345

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1386110302 Stella Ngetich Nurse Practitioner Southwest Blvd Family Health Care, 340 Southwest Blvd, Kansas City, KS 66103 2018-10-17
1700395878 University of Kansas Hospital Cambridge Retail Pharmacy Pharmacy 3825 Cambridge Street, Suite Ca 1333, Kansas City, KS 66103 2017-09-21
1417350067 Luke Giefer Physical Therapist 2507 W 45th Ave, Kansas City, KS 66103 2014-09-26
1154736445 Concilia Amaonye I Behavioral Analyst 2205 West 36 Av, Kansas City, KS 66103 2014-06-25
1043317498 Christine J Campbell Social Worker 2530 West 47th Street, Kansas City, KS 66103 2006-09-20
1154439081 Sharon D Lee Family Medicine 340 Southwest Blvd, Kansas City, KS 66103 2006-08-29
1033743331 Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC Clinic/Center 3910 Rainbow Boulevard, Kansas City, KS 66103 2020-02-25
1710373790 Luke Frager Student in an Organized Health Care Education/Training Program 3901 Rainbow Blvd Ms 4032, Kumc Radiology, Kansas City, KS 66103 2015-04-07
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1700131018 Turner Health Solutions Clinic/Center 403 W 68th St, Kansas City, MO 64113-1918 2012-07-24
1700161528 Whole Health Medical Group Ohio Prof Corp Clinic/Center 11401 N Congress Ave, Kansas City, MO 64153-1473 2011-10-12
1659545952 Mohammad Ghassemi Md Pa Clinic/Center 667 South 55th St, Kansas City, KS 66106-1303 2008-04-17
1467673624 Parkville Family Practice, PC Clinic/Center 5346 Nw 64th St, Kansas City, MO 64151-2414 2007-05-02
1245885334 Vera Whole Health Wa, PC Clinic/Center 8765 N Ambassador Dr, Kansas City, MO 64154-9810 2019-08-06
1861044315 Vera Whole Health Ks, Pa Clinic/Center 9800 Troup Avenue, Kansas City, KS 66111 2019-07-15
1487138152 Vera Whole Health, Wa PC Clinic/Center 1916 Grand Blvd, Kansas City, MO 64108 2018-09-19
1477031920 R-health Primary Care Medical Home Kc Clinic/Center 531 Grand Blvd Ste 1, Kansas City, MO 64106-1779 2018-08-06
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Competitor

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City KANSAS CITY
Zip Code 66103

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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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