Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Amanda Raye Juarez, CPNP-PC

Individual provider Primary Care Nurse Practitioner · NPI 1104430651

MS. Amanda Raye Juarez, CPNP-PC is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2020, 6 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 1011770 (TX)

Record details

NPI number1104430651
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cook Childrens Physician Network — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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