Active NPI
Amada Motherhood LLC
- Doula
- Portales, NM
National Provider Identifier
1306764501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ximena Licano
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.