Amanda Michelle Burdett-Cruz, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

186098 Issued in TX

Practice address

5137 Old Spanish TRL
Bryan, TX 77807-7697

Phone

(979) 676-2697

NPI assigned

Oct 23, 2019

Last updated

Oct 23, 2019By 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 2

Addresses

Other names 1

• Amanda Michelle Cruz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1497398465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 OLD SPANISH TRL",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778077697",
            "telephone_number": "979-676-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5137 OLD SPANISH TRL",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778077697",
            "telephone_number": "979-676-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETT-CRUZ",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "186098",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "186098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CRUZ",
            "middle_name": "MICHELLE",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Iero Buenger, M.D.
• Aubrie Bufkin
• James Bui, DDS
• Lynde McAdams Buras, RPH
• Dana Renee Burch, PTA
• Sherry Jane Burge, COTA
• Christa Floyd Burk, PHARMD
• Burleson County Hospital District (Avir at Bryan)
• Cheryl Burleson
• John Burns

• Licensed Practical Nurse in Bryan, TX
• Providers in Bryan, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.