Individual provider Active NPI

Amanda Dale Poteet-Woolen, CPM

  • Midwife
  • Munfordville, KY
National Provider Identifier
1740098508
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CPM24120630 Issued in KY
Practice address
1325 S Dixie Hwy
Munfordville, KY 42765-9268
Phone
(270) 537-3881
NPI assigned
Dec 26, 2024
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X CPM24120630 KY Primary

Addresses

Primary practice location

1325 S Dixie Hwy
Munfordville, KY 42765-9268

Mailing address

1325 S Dixie Hwy
Munfordville, KY 42765-9268
Phone (270) 537-3881

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

State licenses

LicenseStateTypeSpecialty
CPM24120630KYMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1740098508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S DIXIE HWY",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659268",
            "telephone_number": "270-537-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S DIXIE HWY",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659268",
            "telephone_number": "270-537-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTEET-WOOLEN",
        "first_name": "AMANDA",
        "middle_name": "DALE",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "KY",
            "license": "CPM24120630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munfordville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.