Amanda Lane Endres, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN214956 Issued in AZ

Practice address

1132 E 12TH St
Douglas, AZ 85607-2337

Phone

(520) 364-2447

NPI assigned

Aug 4, 2019

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2019.

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1487209797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 E 12TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072337",
            "telephone_number": "520-364-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 E 12TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072337",
            "telephone_number": "520-364-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "AMANDA",
        "middle_name": "LANE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN214956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Unified School District #27
• Ricardo Duarte, FNP
• Gustavo Durazo Jr., DNP
• Sarah Rose Earnest, P.T.
• Panayiotis A Ellinas II, MD, MPH
• Elizabeth Fabry, ANP
• Neftali Francisco Fernandez, M.D.
• Anne M Flint, MD
• Benjamin Valencia Flores
• Randall Flores, PHARMD

• All providers in Douglas, AZ
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; 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.