Amanda Rose, CD,PCD( DONA)

Primary specialty

DoulaTaxonomy code 374J00000X

License

11349 Issued in OR

Practice address

2233 Villard St Apt 203
Ashland, OR 97520

Phone

(541) 816-0866

NPI assigned

Dec 4, 2015

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

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.

• Modern Traditions Doula

  • Doula
  • Ashland, OR
  • NPI 1891212924
  NPD (past) Authorized official

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114392016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 VILLARD ST APT 203",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201440",
            "telephone_number": "541-816-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 VILLARD ST APT 203",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-816-0866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3103 E Main St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975209097",
            "country_code": "US",
            "telephone_number": "541-816-0866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 Wightman St Apt 4",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975202395",
            "country_code": "US",
            "telephone_number": "541-816-0866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "AMANDA",
        "credential": "CD,PCD( DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "11349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janet R Rollins, M.D.
• Jill Rolstad, P.T.
• Angela Sunshine Rose, L.M.T.
• Ashley Rose, DPT
• Chrysta Louise Rose, M.A.
• Robin L. Rose, MD
• Yaffa Rosenthal

• All providers in Ashland, OR
• Doula in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.