Active NPI
Amanda B Treon, CNM
- Advanced Practice Midwife
- Fairfield, OH
National Provider Identifier
1437349610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- COA.12564-NM
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2991062 | Medicaid | OH |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12564 | OH | MD | Massage Therapist |
| COA.12564-NM | OH | MD | Obstetrics & Gynecology Nurse Practitioner |
| APRN11046380 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute OBGYN LLC | Past | Accepting new patients | |
| Diana Health FL P.a. | Advanced Practice Midwife | Past | Accepting new patients |
| St. Luke Hospitals Inc | Advanced Practice Midwife | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Obstetrics & Gynecology Physician
- Gulf Breeze, FL
- NPI 1801301122
-
- Obstetrics & Gynecology Physician
- Fort Walton Beach, FL
- NPI 1194591966
Advanced Practice Midwife
-
- Obstetrics & Gynecology Physician
- Fort Thomas, KY
- NPI 1902910987
Advanced Practice Midwife
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.