Individual provider Active NPI

Amanda Lynn Williams, CNM

  • Advanced Practice Midwife
  • Memphis, TN
National Provider Identifier
1386096279
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
21605 Issued in TN
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160818002287 TN Practitioner - Certified Nurse Midwife (CNM) 9234424003 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
899563MSMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc Advanced Practice Midwife CurrentSince Sep 1, 2016 Accepting new patients
Memphis Health Center, Inc. CurrentSince Jan 16, 2026 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Sep 1, 2016 Accepting new patients
Memphis Health Center, Inc. CurrentSince Jan 16, 2026 Accepting new patients
The Baby Academy USA LLC Advanced Practice Midwife PastSince Jul 1, 2022 Accepting new patients
The Baby Academy USA LLC Advanced Practice Midwife PastSince Jun 11, 2023 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.

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

Verify at the official NPI Registry.