Individual provider Active NPI

Amanda Leeann Stillwell, AS

  • Rehabilitation Practitioner
  • Orcutt, CA
National Provider Identifier
1124754890
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
4124 Odie LN
Orcutt, CA 93455-3109
Phone
(805) 478-5953
NPI assigned
Jul 26, 2022
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Day Training/Habilitation Specialist 373H00000X
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

4124 Odie LN
Orcutt, CA 93455-3109

Mailing address

4134 Odie LN
Orcutt, CA 93455
Phone (805) 478-5953

Other practice location 1

425 Mooncrest Ln
Orcutt, CA 93455-3765
Phone (805) 478-5953

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL agapehomes.info Health Information Exchange (HIE)
CONNECT URL agapehomes.info Health Information Exchange (HIE)

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
Credentials
Associate of Science

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1124754890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 ODIE LN",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "93455",
            "telephone_number": "805-478-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 ODIE LN",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934553109",
            "telephone_number": "805-478-5953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Mooncrest Ln",
            "address_purpose": "LOCATION",
            "city": "Orcutt",
            "state": "CA",
            "postal_code": "934553765",
            "country_code": "US",
            "telephone_number": "805-478-5953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLWELL",
        "first_name": "AMANDA",
        "middle_name": "LEEANN",
        "credential": "AS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "agapehomes.info",
            "affiliation": "N",
            "endpointDescription": "4124 Odie Ln, Orcutt Ca 93455",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4124 Odie Ln",
            "city": "Orcutt",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934553109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "agapehomes.info",
            "affiliation": "N",
            "endpointDescription": "web address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4124 Odie Ln",
            "city": "Orcutt",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934553109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orcutt, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.