AMANDA MICHELLE BURDETT-CRUZ LVN
NPI 1497398465
Licensed Practical Nurse in Bryan, TX

NPI Status: Active since October 23, 2019

Contact Information

5137 OLD SPANISH TRL
BRYAN, TX
ZIP 77807
Phone: (979) 676-2697

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  • Individual
  • Female
  • Licensed Practical Nurse

About AMANDA BURDETT-CRUZ

This page provides the complete NPI Profile along with additional information for Amanda Burdett-cruz, a provider established in Bryan, Texas with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1497398465 assigned on October 2019. The practitioner's primary taxonomy code is 164W00000X with license number 186098 (TX). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1497398465
Provider Name
AMANDA MICHELLE BURDETT-CRUZ LVN
Other Name
AMANDA MICHELLE CRUZ LVN
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
5137 OLD SPANISH TRL BRYAN, TX 77807
Location Phone
(979) 676-2697
Mailing Address
5137 OLD SPANISH TRL BRYAN, TX 77807
Mailing Phone
(979) 676-2697
Is Sole Proprietor?
No
Enumeration Date
10-23-2019
Last Update Date
10-23-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
186098
License State
TX
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

186098 (TX)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497398465
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241876916412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 9 + 1 + 6 + 4 + 1 + 2 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1497398465 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497398465, enumerated as an "individual" on October 23, 2019.

The provider is located at 5137 OLD SPANISH TRL BRYAN, TX 77807 and the phone number is (979) 676-2697.

Licensed Practical Nurse with taxonomy code 164W00000X.