Individual provider Active NPI

Amanda Rae Delt, M.E.D.

  • Professional Counselor
  • Poteau, OK
National Provider Identifier
1659633964
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2104 N Broadway St Unit a
Poteau, OK 74953-2538
Phone
(918) 647-0485
Fax
(918) 647-0571
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2104 N Broadway St Unit a
Poteau, OK 74953-2538

Mailing address

2104 N. Broadway St. Unit a
Poteau, OK 74953
Phone (918) 647-0485

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
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1659633964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 N. BROADWAY ST. UNIT A",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "74953",
            "telephone_number": "918-647-0485",
            "fax_number": "918-647-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 N BROADWAY ST UNIT A",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532538",
            "telephone_number": "918-647-0485",
            "fax_number": "918-647-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELT",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "credential": "M.E.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.