Amanda Dawn Darris, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2020020264 Issued in MO

Practice address

309 S Jefferson Ave
Springfield, MO 65806-2202

Phone

(417) 536-0061

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1063190940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E CHERRY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658063305",
            "telephone_number": "417-209-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S JEFFERSON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062202",
            "telephone_number": "417-536-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARRIS",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2020020264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Dardenne, MA, LPC
• John Luke Darity, FNP
• Shannon P Dark, PSYD
• Michelle Audrey Darmadi, MD
• David Darmsteadter, M.D.
• Jamil Darrouj, MD
• Darrow Enterprises LLC
• Darrow Psychological Services, P.C.
• Charles Derick Darrow, PH.D.
• Evelyn M. Darrow, PH.D.

• Massage Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.