Individual provider Active NPI

Amanda Allen

  • Obstetrics & Gynecology Physician
  • Vancouver, WA
National Provider Identifier
1346703477
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD61434481 Issued in WA
Practice address
900 NE 139TH St Ste 206
Vancouver, WA 98685-2519
Phone
(360) 433-0022
NPI assigned
Apr 6, 2019
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD61434481 WA Primary

Addresses

Primary practice location

900 NE 139TH St Ste 206
Vancouver, WA 98685-2519

Mailing address

900 NE 139TH St Ste 206
Vancouver, WA 98685-2519
Phone (360) 433-0022

Other practice location 1

900 NE 139th St Ste 206
Vancouver, WA 98685
Phone (360) 487-1360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908003275 WA Practitioner - Obstetrics/Gynecology 5890021455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

900 NE 139TH St
Suite 206
Vancouver, WA 98685-2519
Phone (360) 487-1360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61434481WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital Obstetrics & Gynecology CurrentSince Oct 22, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 22, 2024 Accepting new patients
Cascadia Women's Clinic, LLP Obstetrics & Gynecology CurrentSince Sep 1, 2023 Accepting new patients

Locations

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

900 NE 139th St
Ste 206
Vancouver, WA 98685
Phone (360) 433-0022

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1346703477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NE 139TH ST STE 206",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852519",
            "telephone_number": "360-433-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE 139TH ST STE 206",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852519",
            "telephone_number": "360-433-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 NE 139th St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98685",
            "country_code": "US",
            "telephone_number": "360-487-1360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-06",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61434481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.