Active NPI
Amanda Lebrija Hernandez FNP C MSN LLC
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1811255508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4460
- Legal business name
- AMANDA LEBRIJA HERNANDEZ FNP C MSN LLC
- Practice address
- 3600 W Orange Grove Rd # 34
Tucson, AZ 85741-2824 - Phone
- (520) 297-3907
- Fax
- (520) 989-3486
- NPI assigned
- May 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amanda Lebrija Hernandez, FNP C MSN
- Title
- Owner
- Phone
- (520) 297-3907
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP4460 | AZ | Primary |
Addresses
Primary practice location
3600 W Orange Grove Rd # 34
Tucson, AZ 85741-2824
Mailing address
PO Box 36627
Tucson, AZ 85740-6627
Phone (520) 297-3907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120907000343 | AZ | Part B Supplier - Clinic/Group Practice | 1658529102 |
Receives reassigned benefits from 1 practitioner Practice locations: Tucson, AZ |
National Provider Directory
National Provider DirectoryLocations
3600 W Orange Grove Rd
#34
Tucson, AZ 85741
Phone (520) 297-3907
3600 W Orange Grove Rd
#138
Tucson, AZ 85741
Phone (520) 297-3907
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368057600000",
"number": "1811255508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36627",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857406627",
"telephone_number": "520-297-3907",
"fax_number": "520-989-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 W ORANGE GROVE RD # 34",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412824",
"telephone_number": "520-297-3907",
"fax_number": "520-989-3486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMANDA LEBRIJA HERNANDEZ FNP C MSN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-01",
"last_updated": "2013-05-09",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "LEBRIJA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-297-3907",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP C MSN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP4460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.