Amanda Maria Reyes, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-26222 Issued in CA

Practice address

6815 Whitley Ter
Los Angeles, CA 90068

Phone

(609) 468-9119

NPI assigned

Oct 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1396565743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 WHITLEY TERRACE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90068",
            "telephone_number": "609-468-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 WHITLEY TER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90068",
            "telephone_number": "609-468-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "AMANDA",
        "middle_name": "MARIA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-26222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Reyes
• Alicia Karelly Reyes, MSW
• Allison Reyes
• Alma Adelia Reyes
• Amanda Reyes, PTA
• Amber Bianchi Reyes
• Anne Clarisse Reyes
• Aris Reyes
• Arnel H. Reyes, MD
• Ashley Irene Reyes, LCSW

• Lactation Consultant (Non-RN) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.