DR. AMANDA LYNN PROFIT (NPI# 1962729194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962729194 |
| Entity Type | Individual |
| Full Name | DR. AMANDA LYNN PROFIT |
| Credential | MD |
| Practice Address |
7777 Forest Ln Ste A-200 Dallas TX 75230-2571 |
| Mailing Address |
10006 Ridgehaven Dr Dallas TX 75238-2625 |
| Practice Telephone | 9725667283 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
P0923 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 297659901 | 05 |
| Street Address |
7777 FOREST LN STE A-200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 207ZP0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Molecular Genetic Pathology |
| A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate for MGG was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184711582 | Kathleen S Wilson | Pathology | 6000 Harry Hines Blvd, Hamon Bldg, Room Na2 508a, Dallas, TX 75390-0001 | 2006-10-06 |
| 1568648392 | Shelby Melton | Pathology | 4500 S Lancaster Rd, Pathology and Lab Medicine Service 113, Dallas, TX 75216-7167 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245885854 | Bien-willner Physicians Grp Pa | Pathology | 2700 Technology Forest Blvd Ste 112, The Woodlands, TX 77381-3903 | 2019-08-09 |
| 1790084598 | George Emmett Miles Jr. | Pathology | 18 Lyreleaf Pl, The Woodlands, TX 77382-1542 | 2011-03-18 |
| 1669416806 | Peter Bryant-greenwood | Pathology | 5909 West Loop S Ste 330, Bellaire, TX 77401-2498 | 2006-06-16 |
| 1477971414 | Richard Kenneth Yang | Pathology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2014-04-05 |
| 1457609190 | Brian Naidrin Chang | Pathology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2012-08-28 |
| 1619248671 | Tricia Lyzanne Peters | Pathology | 1140 Business Center Dr Ste 370, Houston, TX 77043 | 2012-01-23 |
| 1841587771 | Alan Frederick Brown | Pathology | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2011-06-29 |
| 1578881413 | Jennifer Robbin Rushton | Pathology | 3445 Executive Center Drive, Suite 250, Austin, TX 78731-1678 | 2010-05-15 |
| 1215050497 | Thomas A Adams Jr. | Pathology | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2007-04-10 |
| 1386716595 | Michael Gene Rhode | Pathology | 301 University Blvd, Galveston, TX 77555-5529 | 2006-11-14 |
| Find all providers with the same taxonomy | ||||
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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.