Active NPI
Amanda Marie Williams, OTR
- Specialist
- Fort Dodge, IA
National Provider Identifier
1336202613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01616
- Practice address
- 2700 1St Ave S
Suite 200
Fort Dodge, IA 50501-4306 - Phone
- (507) 236-1595
- NPI assigned
- Dec 18, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 01616 | IA | Primary |
Addresses
Primary practice location
2700 1St Ave S
Suite 200
Fort Dodge, IA 50501-4306
Mailing address
407 460TH St
Swea City, IA 50590-8550
Phone (507) 236-1595
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01616 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1336202613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 460TH ST",
"city": "SWEA CITY",
"state": "IA",
"postal_code": "505908550",
"telephone_number": "507-236-1595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 1ST AVE S",
"address_2": "SUITE 200",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505014306",
"telephone_number": "507-236-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IA",
"license": "01616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.