Individual provider Active NPI

Amanda Aguilar, FNP-BC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1033753306
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1179098 Issued in TX
Practice address
8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420
Phone
(214) 345-4160
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 977868 TX
Family Nurse Practitioner 363LF0000X AP1179098 TX Primary

Addresses

Primary practice location

8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420

Mailing address

8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122002428 TX Practitioner - Nurse Practitioner 5799210068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell C Lam MD PAGroup PAC ID 1951459080, 12 clinicians

Practice addresses (Care Compare)

8210 Walnut Hill LN
Suite 505
Dallas, TX 75231-4420
Phone (214) 345-4160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
977868TXMDRegistered Nurse
AP1179098TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Russell C. Lam, M.D., P.a. CurrentSince Nov 8, 2024 Accepting new patients
Advanced Wound Care and Healing PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

8210 Walnut Hill Ln
Ste 505
Dallas, TX 75231
Phone (214) 345-4160

7250 Dallas Pkwy
Ste 400
Plano, TX 75024
Phone (512) 653-3562

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1033753306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314420",
            "telephone_number": "214-345-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "AMANDA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "977868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1179098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.