Active NPI
Amanda Jo Cheney, FNP-C
- Family Nurse Practitioner
- Northlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1177682
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1177682 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adjuva Primary Care Inc. | Family | Current | Accepting new patients |
| Texas Familicare Medical Group PLLC | Current | Accepting new patients | |
| Elite Interns PLLC | Past | 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
- 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.
-
- Family Nurse Practitioner
- Northlake, TX
- NPI 1316553043
-
- Family Medicine Physician
- Hurst, TX
- NPI 1447486998
-
- Primary Care Clinic/Center
- Dallas, TX
- NPI 1073968517
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.