Individual provider Active NPI

Juliana Ama Amuzu-Doe

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1245901388
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
923103 Issued in TX
Practice address
3250 Medical Center Dr
Beaumont, TX 77701-4627
Phone
(409) 813-1765
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 923103 TX Primary

Addresses

Primary practice location

3250 Medical Center Dr
Beaumont, TX 77701-4627

Mailing address

3250 Medical Center Dr
Beaumont, TX 77701-4627
Phone (409) 138-1765

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
923103TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SDL Medical Services, LLC CurrentSince Apr 15, 2023 Accepting new patients
Southeast Texas Child Guidance Center, PLLC Past Accepting new patients

Locations

106 Smart Pl
Slidell, LA 70458
Phone (504) 486-5353

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCAIBD/Endpoint/JCAIBD

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": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1245901388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 MEDICAL CENTER DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014627",
            "telephone_number": "409-138-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MEDICAL CENTER DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014627",
            "telephone_number": "409-813-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUZU-DOE",
        "first_name": "JULIANA",
        "middle_name": "AMA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "923103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.