Individual provider Active NPI

Amanda B Treon, CNM

  • Advanced Practice Midwife
  • Fairfield, OH
National Provider Identifier
1437349610
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
COA.12564-NM Issued in OH
Practice address
1020 Symmes Rd
Fairfield, OH 45014-1844
Phone
(513) 893-4107
Fax
(513) 863-3053
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X COA.12564-NM OH Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X COA.12564-NM OH
Advanced Practice Midwife 367A00000X APRN11046380 FL

Addresses

Primary practice location

1020 Symmes Rd
Fairfield, OH 45014-1844

Mailing address

1020 Symmes Rd
Fairfield, OH 45014-1844
Phone (513) 893-4107

Other practice location 1

1046 Mar Walt Dr Ste 200
Fort Walton Beach, FL 32547-6645
Phone (850) 243-2229

Other identifiers 1

IdentifierTypeStateIssuer
2991062MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12564OHMDMassage Therapist
COA.12564-NMOHMDObstetrics & Gynecology Nurse Practitioner
APRN11046380FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute OBGYN LLC Past Accepting new patients
Diana Health FL P.a. Advanced Practice Midwife PastSince Jul 21, 2024 Accepting new patients
St. Luke Hospitals Inc Advanced Practice Midwife Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1437349610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SYMMES RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450141844",
            "telephone_number": "513-893-4107",
            "fax_number": "513-863-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SYMMES RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450141844",
            "telephone_number": "513-893-4107",
            "fax_number": "513-863-3053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 Mar Walt Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476645",
            "country_code": "US",
            "telephone_number": "850-243-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREON",
        "first_name": "AMANDA",
        "middle_name": "B",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA.12564-NM",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "COA.12564-NM",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11046380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2991062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.