Amanda Rian McDaniels

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

32232 Issued in TX

Practice address

111 E FM 120 Ste 104
Pottsboro, TX 75076-7801

Phone

(903) 786-3911

Fax

(903) 786-8630

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ies Central Texas PLLCGroup PAC ID 3476922576, 33 clinicians

Level One Emergency Physicians LLCGroup PAC ID 7810371044, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texoma Medical Center Hospital, Denison, TX, CCN 450324

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Level One Emergency Physicians LLC

  • Emergency Medicine Physician
  • Denison, TX
  • NPI 1528790193

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Ies Central Texas PLLC

  • Emergency Medicine Physician
  • Hillsboro, TX
  • NPI 1003523002
  Medicare reassignment Care Compare group
• Level One Emergency Specialists LLC

  • Emergency Medicine Physician
  • Sherman, TX
  • NPI 1427780097

  Nurse Practitioner

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Uhs of Texoma, Inc

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  Care Compare affiliation

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1295378966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HWY 75",
            "address_2": "SUITE 300, ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-786-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E FM 120 STE 104",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750767801",
            "telephone_number": "903-786-3911",
            "fax_number": "903-786-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 Chatsworth Dr",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "TX",
            "postal_code": "754090239",
            "country_code": "US",
            "telephone_number": "903-505-0871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1807 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747013011",
            "country_code": "US",
            "telephone_number": "580-920-2273",
            "fax_number": "580-920-9978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3126 W Fm 120",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750201249",
            "country_code": "US",
            "telephone_number": "903-416-7544",
            "fax_number": "903-416-7545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIELS",
        "first_name": "AMANDA",
        "middle_name": "RIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "32232",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "32232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Texoma Chiropractic
• Lake Texoma Health Clinic, PLLC
• James Boothby Leblanc, M.ED., LPC
• April Littlefield
• Suzanne Eileen Lohman, MSW
• Sarah Beth Morris, RN, CWD
• Susan Renee Morrison-Peippo, PHARMD
• Jessica Morrow, LVN
• Mark Frederick Peippo, RPH
• Premier Credentialing LLC

• Family Nurse Practitioner in Pottsboro, TX
• Providers in Pottsboro, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.

Verify at the official NPI Registry.