Organization Active NPI

Amada Motherhood LLC

  • Doula
  • Portales, NM
National Provider Identifier
1306764501
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
AMADA MOTHERHOOD LLC
Practice address
2201 Saint Francis CT
Portales, NM 88130-9381
Phone
(575) 652-2743
NPI assigned
Jul 7, 2026
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Ximena LicanoNPI 1518794320
Title
Owner
Phone
(575) 652-2743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X NU
Doula 374J00000X NU Primary

Addresses

Primary practice location

2201 Saint Francis CT
Portales, NM 88130-9381

Mailing address

2201 Saint Francis CT
Portales, NM 88130-9381

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1306764501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SAINT FRANCIS CT",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SAINT FRANCIS CT",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309381",
            "telephone_number": "575-652-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADA MOTHERHOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "LICANO",
        "authorized_official_first_name": "XIMENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-652-2743"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.