Amanda Jenkins Gwardys-Cook, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

249201 Issued in AZ

Practice address

12211 W Bell Rd Ste 104
Surprise, AZ 85378-9655

Phone

(480) 516-8037

Fax

(480) 400-4383

NPI assigned

Oct 20, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amanda Gwardys-Cook Pmhnp PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Litchfield Park, AZ
  • NPI 1386324986
  NPD Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1992304075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 W MCDOWELL RD STE B102",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952519",
            "telephone_number": "480-417-2003",
            "fax_number": "480-400-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 W BELL RD STE 104",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789655",
            "telephone_number": "480-516-8037",
            "fax_number": "480-400-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWARDYS-COOK",
        "first_name": "AMANDA",
        "middle_name": "JENKINS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "249201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zenaida Cecili Gutierrez Cota
• Melinda Gutierrez, PA
• Tiffany Gutierrez, ATC
• Julia Gutkin
• Christina Adelena Guy
• Deborah Blair Gyorffy, OTR
• Walter Richard Hadikin, M.D.
• Thomas Hageman, RVT
• Justin J Hahn, PT
• Hannah Haley

• Psychiatric/Mental Health Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.