Amanda Dawn Maxwell, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

188942 Issued in TX

Practice address

7330 San Pedro Ave Ste 800
San Antonio, TX 78216-6268

Phone

(210) 737-8090

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Dawn Jendrzey 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": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1831698208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 LARAMIE HL",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782335385",
            "telephone_number": "210-323-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE STE 800",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166268",
            "telephone_number": "210-737-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "188942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "JENDRZEY",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Jane Maxie-Hall
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxmed Healthcare, Inc
• Maxwell Medical Services, Inc
• Edward Maxwell, PA
• Lucy Maxwell
• Pamela R Maxwell, PHARM.D., BCPS
• Stephen A. Maxwell, M.D,
• Suzanne Elizabeth Maxwell, LMSW

• Licensed Vocational Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.