Active NPI
Amanda Michelle Housh, D.C.
- Chiropractor
- Yukon, OK
National Provider Identifier
1275712184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3850
- Practice address
- 1809 Commons Cir
A
Yukon, OK 73099 - Phone
- (405) 577-6268
- Fax
- (405) 577-6371
- NPI assigned
- Oct 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3850 | OK | Primary |
Addresses
Primary practice location
1809 Commons Cir
A
Yukon, OK 73099
Mailing address
2800 Siena Cir # a
Yukon, OK 73099-3564
Phone (405) 206-9312
Other names 1
- Amanda M Miller
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3850 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Rehab, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Yukon, OK
- NPI 1497178156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1275712184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 SIENA CIR # A",
"city": "YUKON",
"state": "OK",
"postal_code": "730993564",
"telephone_number": "405-206-9312",
"fax_number": "405-577-6371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 COMMONS CIR",
"address_2": "A",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "405-577-6268",
"fax_number": "405-577-6371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSH",
"first_name": "AMANDA",
"middle_name": "MICHELLE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MILLER",
"middle_name": "M",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.