Amanda Leeann Stillwell, AS
Individual provider Active NPI Rehabilitation Practitioner · Orcutt, CA
NPI 1124754890 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1124754890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 4124 Odie LN
Orcutt, CA 93455-3109 - Phone
- (805) 478-5953
- NPI assigned
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Associate of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Rehabilitation Practitioner | 225400000X | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | agapehomes.info | Health Information Exchange (HIE) | |
| CONNECT URL | agapehomes.info | Health Information Exchange (HIE) |
Other providers in Orcutt, CA
- Rancho Maria CLHF
- Paige Marie Ritari
- Thomas Anthony Sazani
- Alicia Maria Schroeder
- Mary Josephine Silbernagle
- Darrell Lee Stock Jr.
- Lacey Taglia
- Daniel Joseph Thompson Jr.
- Heidi Jamie Thompson
- Danielle Vail
All providers in Orcutt, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.