Individual provider Active NPI

Nicole Michelle Amador

  • Midwife
  • Phoenix, AZ
National Provider Identifier
1508421918
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
51 E Monterey Way
Phoenix, AZ 85012-2616
Phone
(480) 565-2165
Fax
(602) 889-2444
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Midwife 176B00000X AZ Primary

Addresses

Primary practice location

51 E Monterey Way
Phoenix, AZ 85012-2616

Mailing address

15720 Meadow Rd Apt L1
Lynnwood, WA 98087-6566
Phone (206) 612-6933

Other practice location 1

15720 Meadow Rd Apt L1
Lynnwood, WA 98087-6566
Phone (206) 612-6933

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://willowbirthcenteraz.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Midwife Center for Birth and Wellness Az Past Accepting new patients

Organizations & group practices 1

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1508421918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 MEADOW RD APT L1",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876566",
            "telephone_number": "206-612-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E MONTEREY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122616",
            "telephone_number": "480-565-2165",
            "fax_number": "602-889-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15720 Meadow Rd Apt L1",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980876566",
            "country_code": "US",
            "telephone_number": "206-612-6933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://willowbirthcenteraz.com/",
            "affiliation": "N",
            "address_1": "51 E Monterey Way",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850122616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.