Individual provider Active NPI

Amanda Suzanne Garza, MSN, RN, FNP

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1841690435
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126360 Issued in TX
Practice address
102 S 1St St Ste B
Rockwall, TX 75087-3793
Phone
(972) 772-8194
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126360 TX Primary

Addresses

Primary practice location

102 S 1St St Ste B
Rockwall, TX 75087-3793

Mailing address

401 W Rusk St Ste 100
Rockwall, TX 75087-3606
Phone (972) 772-8194

Other names 1

  • Mrs. Amanda Suzanne Underwood Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150116001523 TX Practitioner - Nurse Practitioner 9032433230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP126360TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockwall County Helping Hands Inc. CurrentSince Oct 8, 2014 Accepting new patients

Locations

401 W Rusk St
Ste 100
Rockwall, TX 75087
Phone (972) 772-8194

990 Williams St
Ste A
Rockwall, TX 75087
Phone (972) 722-8194

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1841690435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W RUSK ST STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873606",
            "telephone_number": "972-772-8194",
            "fax_number": "972-772-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 1ST ST STE B",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873793",
            "telephone_number": "972-772-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "AMANDA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "UNDERWOOD",
            "middle_name": "SUZANNE",
            "prefix": "MRS.",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.