Active NPI
Amanda Mytt Youngers, CNM
- Advanced Practice Midwife
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- B-118971
- Practice address
- 3200 Canyon Lake Dr
Rapid City, SD 57702-8114 - Phone
- (605) 355-2500
- NPI assigned
- Jul 9, 2008
- Last updated
- Feb 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | B-118971 | IA | Primary |
Addresses
Primary practice location
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Mailing address
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone (605) 355-2500
Other names 1
- Miss Amanda Mytt Hill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-118971 | IA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Great Plains Tribal Chairmen's Health Board | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Lovelace Health System, LLC | Past | Accepting new patients |
Locations
10511 Golf Course Rd NW
Ste 201
Albuquerque, NM 87114
Phone (505) 232-1180
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
4705 Montgomery Blvd NE
Ste 301
Albuquerque, NM 87109
Phone (505) 727-4500
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
119 S 1st Ave
Martin, SD 57551
Phone (605) 685-2800
3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282
3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500
Interoperability endpoints
- ayoungers1335317@ahs.direct-ci.com
Organizations & group practices 8
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.
-
dba Oyate Health Center
- Pharmacy
- Rapid City, SD
- NPI 1376105452
TX
-
dba Pine Ridge IHS Hospital
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
dba Wanblee Health Center
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
TX
-
dba LaCreek District Clinic
- Clinic/Center
- Martin, SD
- NPI 1003208257
-
dba Manderson Field Clinic
- Clinic/Center
- Manderson, SD
- NPI 1487701348
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1568625531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 CANYON LAKE DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028114",
"telephone_number": "605-355-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CANYON LAKE DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028114",
"telephone_number": "605-355-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGERS",
"first_name": "AMANDA",
"middle_name": "MYTT",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IA",
"license": "B-118971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "HILL",
"middle_name": "MYTT",
"prefix": "MISS",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.