AMARILLO FAMILY CARE CLINIC PLLC (NPI# 1932569365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932569365 |
Entity Type | Organization |
Organization Name | AMARILLO FAMILY CARE CLINIC PLLC |
Practice Address |
17401 Fm 2575 Amarillo TX 79108-8053 |
Mailing Address |
Po Box 32121 Amarillo TX 79120-2121 |
Practice Telephone | 8062366274 |
Mailing Telephone | 8062366274 |
Enumeration Date | 2016-02-26 |
Last Update Date | 2016-04-20 |
Authorized Official Name | CECELIA GARCIA BREWER (OWNER) |
Authorized Official Telephone | 8062366274 |
Authorized Official Credential | FNP-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP123990 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
17401 FM 2575 |
City | AMARILLO |
State | TX |
Zip Code | 79108-8053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114143591 | River Road Isd | Local Education Agency (LEA) | 9500 N Us Highway 287, Amarillo, TX 79108-1620 | 2007-04-17 |
1508427154 | Aubree Settle | Home Health Aide | 9908 Charnetta Trl, Amarillo, TX 79108-1849 | 2019-06-25 |
1679130546 | Theresa Lynne Edwards | Nurse Practitioner | 12900 Aires Dr, Amarillo, TX 79108-2858 | 2019-05-24 |
1912407917 | Arely Campos | Licensed Vocational Nurse | 7111 Vinewood St, Amarillo, TX 79108-3310 | 2018-02-15 |
1750795191 | Donna Susan Mercer | Physical Therapist | 1103 Yucca Dr, Amarillo, TX 79108-3709 | 2014-06-13 |
1396865929 | Mary P Lillico | Dietitian, Registered | 5413 River Rd, Amarillo, TX 79108-4607 | 2007-03-29 |
1356684534 | Kathy Ann Lundegreen | Registered Nurse | 5209 Boyd St, Amarillo, TX 79108-5801 | 2013-04-05 |
1447249412 | Angelica D. Mendez | Family Medicine | 4701 Grande Dr, Amarillo, TX 79108-6819 | 2005-10-20 |
1104056530 | Bradley B Veazey | Orthopaedic Surgery | 8301 Tule Dr, Suite 129, Amarillo, TX 79108-6942 | 2009-07-20 |
1013393966 | Highland Park Independent School District | Local Education Agency (LEA) | 15300 E Amarillo Blvd, Amarillo, TX 79108-7572 | 2015-08-03 |
Find all providers in zip 79108 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083229629 | Donna Jeannette Mccauley | Nurse Practitioner | 7407 Imperial Dr, Amarillo, TX 79121-1429 | 2020-09-10 |
1902414998 | Sarah Jane Fisk | Nurse Practitioner | 1901 Medi Park Dr Ste 103, Amarillo, TX 79106-2106 | 2020-07-16 |
1801410063 | Jeannette Sandoval | Nurse Practitioner | 2329 Ross Osage, Amarillo, TX 79103-3000 | 2020-06-03 |
1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
1225679400 | Wendy Dawn Guest | Nurse Practitioner | 7716 Pinnacle Dr, Amarillo, TX 79119-7494 | 2019-09-30 |
1326609835 | Chelsea Beth Stevens | Nurse Practitioner | 609 S Carolina St, Amarillo, TX 79106-8721 | 2019-06-25 |
1184187759 | Lauren Altendorf | Nurse Practitioner | 3501 S Soncy Rd Ste 110, Amarillo, TX 79119-6405 | 2019-04-10 |
1851853311 | Sandra Renee Morris Boyd | Nurse Practitioner | 20001 Wind River Dr, Amarillo, TX 79124-1682 | 2019-04-03 |
1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
1609349042 | Sarah Price | Nurse Practitioner | 5109 Navajo Trl, Amarillo, TX 79110-4635 | 2019-01-08 |
Find all providers in AMARILLO |
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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.