Active NPI
Amanda Lee Echols
- Doula
- West Bend, WI
National Provider Identifier
1265142301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 1849 County Road a
West Bend, WI 53090-9018 - Phone
- (262) 674-4075
- NPI assigned
- Nov 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
1849 County Road a
West Bend, WI 53090-9018
Mailing address
1849 County Road a
West Bend, WI 53090-9018
Phone (262) 674-4075
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanda@faithfulhavencollective.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1265142301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 COUNTY ROAD A",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530909018",
"telephone_number": "262-674-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 COUNTY ROAD A",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530909018",
"telephone_number": "262-674-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHOLS",
"first_name": "AMANDA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amanda@faithfulhavencollective.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Messaging",
"address_1": "1849 County Road A",
"city": "West Bend",
"state": "WI",
"country_code": "US",
"postal_code": "530909018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.