Active NPI
Amanda Lynn Williams, CNM
- Advanced Practice Midwife
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 21605
- Practice address
- 880 Madison Ave
Memphis, TN 38103-3409 - Phone
- (901) 515-3800
- Fax
- (901) 302-2491
- NPI assigned
- Jul 5, 2016
- Last updated
- Aug 10, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 899563 | MS | |
| Advanced Practice Midwife | 367A00000X | 21605 | TN | Primary |
Addresses
Primary practice location
880 Madison Ave
Memphis, TN 38103-3409
Mailing address
8446 Ansley Park LN
Southaven, MS 38672-7815
Phone (901) 604-5599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 899563 | MS | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Advanced Practice Midwife | Current | Accepting new patients |
| Memphis Health Center, Inc. | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Memphis Health Center, Inc. | Current | Accepting new patients | |
| The Baby Academy USA LLC | Advanced Practice Midwife | Past | Accepting new patients |
| The Baby Academy USA LLC | Advanced Practice Midwife | Past | Accepting new patients |
Locations
360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500
4940 Highway 57
Ste 107
Rossville, TN 38066
Phone (901) 261-2221
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1144236902
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
Advanced Practice Midwife
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1659745354
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
-
- Advanced Practice Midwife
- Chicago, IL
- NPI 1306572631
-
- Advanced Practice Midwife
- New York, NY
- NPI 1871287235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1386096279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8446 ANSLEY PARK LN",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386727815",
"telephone_number": "901-604-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033409",
"telephone_number": "901-515-3800",
"fax_number": "901-302-2491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "AMANDA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-05",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MS",
"license": "899563",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TN",
"license": "21605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.