Individual provider Active NPI

Amanda Bloomfeldt, CM/CC

  • Case Manager/Care Coordinator
  • Kelso, WA
National Provider Identifier
1861935454
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
118 Balboa Loop
Kelso, WA 98626-1874
Phone
(360) 513-5216
NPI assigned
Nov 30, 2016
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

118 Balboa Loop
Kelso, WA 98626-1874

Mailing address

118 Balboa Loop
Kelso, WA 98626-1874
Phone (360) 513-5216

Other names 1

  • Mrs. Amanda Lynn Bloomfeldt Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Connections Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1861935454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BALBOA LOOP",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261874",
            "telephone_number": "360-513-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BALBOA LOOP",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261874",
            "telephone_number": "360-513-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFELDT",
        "first_name": "AMANDA",
        "credential": "CM/CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BLOOMFELDT",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "CM/CC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kelso, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.