Individual provider Active NPI

Andrea Buchholz, MSN, APRN, NNP-BC

  • Critical Care Neonatal Nurse Practitioner
  • Plano, TX
National Provider Identifier
1174260608
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
1093544 Issued in TX
Practice address
6200 W Parker Rd
Plano, TX 75093-8185
Phone
(214) 343-6663
Fax
(214) 343-2814
NPI assigned
May 17, 2022
Last updated
Aug 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 1093544 TX
Critical Care Neonatal Nurse Practitioner 363LN0005X 1093544 TX Primary
Registered Nurse 163W00000X 874708 TX

Addresses

Primary practice location

6200 W Parker Rd
Plano, TX 75093-8185

Mailing address

1121 E Spring Creek Pkwy.
Ste. 110, #319
Plano, TX 75074
Phone (214) 343-6663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
874708TXMDRegistered Nurse
1093544TXMDNeonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1174260608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E SPRING CREEK PKWY.",
            "address_2": "STE. 110, #319",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938185",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "ANDREA",
        "credential": "MSN, APRN, NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "1093544",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "TX",
            "license": "1093544",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "874708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.