Amanda Faye Dragos Carr, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-165231 Issued in CA

Practice address

842 Pinewood CT
Petaluma, CA 94954-4346

Phone

(707) 799-8177

NPI assigned

Jun 18, 2021

Last updated

Jun 18, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1154990737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 PINEWOOD CT",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949544346",
            "telephone_number": "170-779-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 PINEWOOD CT",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949544346",
            "telephone_number": "707-799-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "AMANDA",
        "middle_name": "FAYE DRAGOS",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-165231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Carlson
• Laurel Whitney Carmichael, PHARMD
• Richard Carolan, EDD./ PSYCHOLOGIST
• Carpe Diem, Massage and Skin
• Debbie A Carpenter, CERTIFIED MASSAGE TH
• Ynhi Thanh Carr, PHARMD
• Alejandro Daniel Carranza
• Zoe Carrasco
• Jorge Daniel Carrasquillo
• Lesley Anne Carrier, RD

• Lactation Consultant (Non-RN) in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.