Amanda M White, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2393 Issued in AL

Practice address

427 E Main St
Prattville, AL 36067-3409

Phone

(334) 356-5571

Fax

(334) 730-0971

NPI assigned

Jan 14, 2008

Last updated

Feb 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Bold Life Chiropractic, LLCGroup PAC ID 2062765266, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bold Life Chiropractic, LLC

  dba Complete Life Chiropractic

  • Chiropractor
  • Prattville, AL
  • NPI 1518390293
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1851577480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E MAIN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673409",
            "telephone_number": "334-356-5571",
            "fax_number": "334-730-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E MAIN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673409",
            "telephone_number": "334-356-5571",
            "fax_number": "334-730-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "27027",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Wells, LICSW
• Victoria Wheeler
• Kristen Whetstone
• Stacey L Whitaker, PA-C
• White Chiropractic, LLC
• Joshua P White, D.C.
• Alexandria P Wiggins
• Emily Griggs Wilkinson, DPT
• Cornelius Laron Williams-Fenderson
• Allison Williams

• Chiropractor in Prattville, AL
• Providers in Prattville, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.