Amanda Elizabeth Maples

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT8690 Issued in NM

Practice address

460 Saint Michaels Dr Ste 1205
Santa Fe, NM 87505-8605

Phone

(505) 490-6160

NPI assigned

Dec 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Stillwater Wellness

  dba Stillwater Therapeutic Bodywork

  • Multi-Specialty Clinic/Center
  • Santa Fe, NM
  • NPI 1265998314
  NPD

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1659967065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 CERRO GORDO RD UNIT 2B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875016148",
            "telephone_number": "505-946-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR STE 1205",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058605",
            "telephone_number": "505-490-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLES",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "MT8690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10626764900",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah M Manning, CSW
• Mano Floreciando de Mana LLC
• Eric Stratman Manske, M.D.
• Diega Carol Mantione, DMT
• Gregory Alan Mapes, MA LPCC
• Maq Ele', LLC (Black Canvas Wholistic Therapy)
• Mara Okshteyn, MD, LLC
• Mariana Marachlian, CSW
• Aaron Marbury, PHARMD
• Robert Marcus, M.D.

• Massage Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; 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.