Individual provider Active NPI

Amanda Prevel-Ramos, RN, BSN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Anchorage, AK
National Provider Identifier
1639933039
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
125806 Issued in AK
Practice address
3730 Rhone Cir Ste 101
Anchorage, AK 99508-5054
Phone
(907) 561-5152
Fax
(907) 562-2585
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 125806 AK Primary

Addresses

Primary practice location

3730 Rhone Cir Ste 101
Anchorage, AK 99508-5054

Mailing address

3730 Rhone Cir Ste 101
Anchorage, AK 99508-5054
Phone (907) 561-5152

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
125806AKMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1639933039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 RHONE CIR STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085054",
            "telephone_number": "907-561-5152",
            "fax_number": "907-562-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 RHONE CIR STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085054",
            "telephone_number": "907-561-5152",
            "fax_number": "907-562-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVEL-RAMOS",
        "first_name": "AMANDA",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AK",
            "license": "125806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.