Individual provider Active NPI

Amanda Jo Cheney, FNP-C

  • Family Nurse Practitioner
  • Northlake, TX
National Provider Identifier
1114747532
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1177682 Issued in TX
Practice address
4901 State Highway 114 Ste 102
Northlake, TX 76262-1466
Phone
(817) 554-2121
Fax
(817) 813-8183
NPI assigned
Oct 10, 2024
Last updated
Mar 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1177682 TX Primary

Addresses

Primary practice location

4901 State Highway 114 Ste 102
Northlake, TX 76262-1466

Mailing address

901 McCurry Ave
Bedford, TX 76022-7848
Phone (817) 966-7370

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
I20241105003064 TX Practitioner - Nurse Practitioner 1658805296 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
Adjuva Primary Care Inc.Group PAC ID 2769891746, 2 clinicians

Practice addresses (Care Compare)

4901 State Hwy 114
Suite 102
Northlake, TX 76262-1466
Phone (817) 554-2121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1177682TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adjuva Primary Care Inc. Family CurrentSince Jan 1, 2025 Accepting new patients
Texas Familicare Medical Group PLLC CurrentSince Oct 10, 2024 Accepting new patients
Elite Interns PLLC PastSince Oct 10, 2024 Accepting new patients

Locations

615 N Main St
Ste 125
Euless, TX 76039

1725 Chadwick Ct
Ste 100
Hurst, TX 76054
Phone (817) 281-4446

4901 State Highway 114
Ste 102
Roanoke, TX 76262
Phone (817) 554-2121

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1114747532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCURRY AVE",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760227848",
            "telephone_number": "817-966-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 STATE HIGHWAY 114 STE 102",
            "city": "NORTHLAKE",
            "state": "TX",
            "postal_code": "762621466",
            "telephone_number": "817-554-2121",
            "fax_number": "817-813-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENEY",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1177682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northlake, TX

Sources for this page

Verify at the official NPI Registry.