Amanda Lundquist, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

836922 Issued in TX

Practice address

315 W Gibson St
Jasper, TX 75951-4903

Phone

(409) 384-5768

NPI assigned

Jun 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1780253559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514903",
            "telephone_number": "409-384-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514903",
            "telephone_number": "409-384-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "AMANDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "836922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amandalundquist@trustcaremanagement.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "315 W Gibson St",
            "city": "Jasper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759514903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Windolyn Shadae Leach
• Lehmann Eye Center of Jasper, PA
• Letourneau Lifelike Orthotics & Prosthetics, Inc.
• Lewis Transportation LLC
• Lakitria Limbrick, LPC
• Lynn L. Pearson, M.D., PA
• Cary G Malone, PT DPT
• Nadia Rawls Martindale, MSN, APN, ACNS-BC
• Nina Martindale, APRN
• Janice Erline McAdams, M.ED. LPC

• Administrator Registered Nurse in Jasper, TX
• Providers in Jasper, TX by specialty
• Administrator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.