Amanda Prouty, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

Practice address

1615 Ridgecove Dr
Wylie, TX 75098-8186

Phone

(972) 533-6190

Fax

(469) 361-6687

NPI assigned

Aug 13, 2007

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

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283558400000",
    "number": "1083806103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 RIDGECOVE DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988186",
            "telephone_number": "972-533-6190",
            "fax_number": "469-361-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 RIDGECOVE DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988186",
            "telephone_number": "972-533-6190",
            "fax_number": "469-361-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUTY",
        "first_name": "AMANDA",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2010-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Home Health
• Prestige Evaluation and Consulting Services, LLC
• Beverly Faith Price, LMSW
• Prime Care Transports LLC
• Primrose Care
• Pure View Dianostic
• Elizabeth Shijo Puthur
• Maimoona Qamar, M.D
• QCP Wylie LLC
• Annie Quach, O.D.

• Midwife in Wylie, TX
• Providers in Wylie, TX by specialty
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2010; 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.