Active NPI
Juliana Ama Amuzu-Doe
- Family Nurse Practitioner
- Beaumont, TX
National Provider Identifier
1245901388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 923103
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 923103 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SDL Medical Services, LLC | Current | 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
- 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.
-
- Interventional Pain Medicine Physician
- Slidell, LA
- NPI 1073046884
-
- Mental Health Counselor
- Beaumont, TX
- NPI 1861761017
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.