Individual provider Active NPI

Amanda Telthorst, RN, CLC

  • Lactation Consultant (Registered Nurse)
  • Dallas, TX
National Provider Identifier
1720993777
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
927922 Issued in TX
Practice address
5335 Spring Valley Rd
Dallas, TX 75254-3009
Phone
(469) 592-7364
NPI assigned
Aug 15, 2026
Last updated
Aug 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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 927922 TX Primary

Addresses

Primary practice location

5335 Spring Valley Rd
Dallas, TX 75254-3009

Mailing address

702 Tenna Loma CT
Dallas, TX 75208-3135

Other practice location 1

14850 Montfort Dr Ste 181
Dallas, TX 75254-1450
Phone (469) 592-7364

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

NPI Registry JSON

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1720993777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 TENNA LOMA CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752083135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752543009",
            "telephone_number": "469-592-7364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14850 Montfort Dr Ste 181",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752541450",
            "country_code": "US",
            "telephone_number": "469-592-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELTHORST",
        "first_name": "AMANDA",
        "credential": "RN, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "927922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.