Amanda L. Mishra, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

690685 Issued in TX

Practice address

807 Stark St
Austin, TX 78756-1508

Phone

(512) 452-2506

Fax

(512) 371-0187

NPI assigned

Nov 16, 2006

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 identifiers 1

Other names 1

• Amanda Christine Law Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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.

• Aline C Zeringue Acns-BC, PLLC

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
  • NPI 1154782829
  Medicare reassignment NPD
• RC Raley Professional Association

  • Family Medicine Physician
  • Austin, TX
  • NPI 1407168552
  NPD
• Chudleigh PA

  • General Practice Physician
  • Leander/Volente, TX
  • NPI 1447422829
  NPD (past)
• Dr. Imtiaz Alam MD, PA

  • Specialist
  • Austin, TX
  • NPI 1497950091
  NPD (past)
• Robert P Wills MD PLLC

  • Interventional Pain Medicine Physician
  • West Lake Hills, TX
  • NPI 1326435769
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1497828693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 STARK ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561508",
            "telephone_number": "512-452-2506",
            "fax_number": "512-371-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 STARK ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561508",
            "telephone_number": "512-452-2506",
            "fax_number": "512-371-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "AMANDA",
        "middle_name": "L.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "TX",
            "license": "690685",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "690685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215039302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LAW",
            "middle_name": "CHRISTINE",
            "credential": "ACNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary V Mirto, D.O.
• Rachel Elizabeth Mis, PHD
• Dana Misawa
• Hunter Mischnick, PTA
• Kristin Ann Miselis, M.D.
• Viveca Kris Mishra, MD
• Stephen Mishriky
• Maya Misikoff, RN, OTR, IBCLC
• Rachele Anne Misiti, LCSW
• Meen Misra, M.D.

• Clinical Nurse Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.