Amanda Danielle Adorable, RN, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Irving, TX

NPI 1396561783 · NPPES record last updated Dec 2, 2024

Key facts

NPI
1396561783
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1177847 (TX)
Practice address
7200 State Highway 161 Ste 100
Irving, TX 75039-3800
Phone
(972) 853-5033
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
984313TXMDNeonatal Intensive Care Registered Nurse
1177847TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediplace Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered Nurse 163WN0002X 984313 TX
Family Nurse Practitioner 363LF0000X 1177847 TX Yes

Addresses

Primary practice location

7200 State Highway 161 Ste 100
Irving, TX 75039-3800

Mailing address

4120 Scout LN
Aubrey, TX 76227-2621
Phone (469) 450-9814

Other providers in Irving, TX

All providers in Irving, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.