Amanda Selia Davis, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP135408 Issued in TX

Practice address

900 W Bluff St
Woodville, TX 75979-4734

Phone

(409) 283-2090

NPI assigned

Oct 10, 2017

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Selia Garcia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angelina Pediatrics PLLC

  • Pediatrics Physician
  • Lufkin, TX
  • NPI 1154425494
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1417467994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GENE SAMFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043359",
            "telephone_number": "936-634-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794734",
            "telephone_number": "409-283-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 Ellis Ave",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759043326",
            "country_code": "US",
            "telephone_number": "936-634-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMANDA",
        "middle_name": "SELIA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP135408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GARCIA",
            "middle_name": "SELIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James McFarley Brown, MD PA
• C. Caleb Spurlock, DDS, PLLC
• Emily Colleen Carney, MS, CCC-SLP
• James Allen Clark, M.D.
• Cypress Lake Lodge
• Paula Lajean Denson, M.D.
• Ellis Rodney Derouen, R.PH
• Lisa Ann Dickey, C.O.T.A.
• Dmctx1, PLLC (Dedicated Medical Center, Urgent Care)
• Dogwood Pharmacy LLC (Dogwood PHarmacy and Gift)

• Pediatric Nurse Practitioner in Woodville, TX
• Providers in Woodville, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.