Active NPI
Amanda Allen
- Obstetrics & Gynecology Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD61434481
- 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, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD61434481 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Salmon Creek Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Cascadia Women's Clinic, LLP | Obstetrics & Gynecology | Current | 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.
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Vancouver, WA
- NPI 1942315304
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.