Individual provider Active NPI

Amanda Renee Whatley, CPM, LM

  • Midwife
  • Stephenville, TX
National Provider Identifier
1114587854
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99373 Issued in TX
Practice address
270 Barker St
Stephenville, TX 76401-1904
Phone
(480) 817-8317
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99373 TX Primary

Addresses

Primary practice location

270 Barker St
Stephenville, TX 76401-1904

Mailing address

240 Moonlight TRL
Stephenville, TX 76401-2138
Phone (480) 817-8317

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lotusblossomladies@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99373TXMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1114587854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MOONLIGHT TRL",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012138",
            "telephone_number": "480-817-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BARKER ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011904",
            "telephone_number": "480-817-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "CPM, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lotusblossomladies@gmail.com",
            "affiliation": "N",
            "address_1": "270 Barker St",
            "city": "Stephenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "764011904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

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