Amanda Jeffrey, RDH

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

11508 Woodmill PL
North Chesterfield, VA 23236-2497

Phone

(757) 647-2707

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1295307668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11508 WOODMILL PL",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232362497",
            "telephone_number": "757-647-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11508 WOODMILL PL",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232362497",
            "telephone_number": "757-647-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "AMANDA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda@midlomyo.com",
            "affiliation": "N",
            "address_1": "11508 Woodmill Pl",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232362497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jerard B Jarrett
• JC Homelife, Inc.
• JC Homelife, Inc.
• Jahnaisha S Jean-Philippe
• Ashlie Jeffery, LPC
• Robyn Lowry Jennings, LPC
• Samantha Jennings, LPC
• Ryanna M Jensen
• Daniel Jongwon Jeong, CRNA
• Jeremiah Foundation Inc

• Specialist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.