Amy Lynn Fenrick, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

4308 Lone Oak Dr
Mansfield, TX 76063-5566

Phone

(608) 449-0767

NPI assigned

Nov 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Lynn Myszewski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1144650250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BELL OAK DR",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760605623",
            "telephone_number": "608-449-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 LONE OAK DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635566",
            "telephone_number": "608-449-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENRICK",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MYSZEWSKI",
            "middle_name": "LYNN",
            "credential": "CSFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aida Fares Massaad, FNP
• Ridwan Naim Faruq, MD
• Faustus Lenamond Emergent Care, PA
• Kathryn Feigl
• Amanda Felts, LPC
• Claudia Ferguson
• Lawrence Ferguson II
• Diana Ferrer
• Jared Fiedler, MOT, OTR/L
• Christi Fierro, LMSW

• Surgical Assistant in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.