Amelia B Adams

Primary specialty

General Care Registered Respiratory TherapistTaxonomy code 2279G1100X

License

RCP1544 Issued in MS

Practice address

159 Reagan Dr
Magnolia, MS 39652-2903

Phone

(601) 730-5039

NPI assigned

Feb 22, 2021

Last updated

Feb 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1871187773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 REAGAN DR",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 REAGAN DR",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522903",
            "telephone_number": "601-730-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "AMELIA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "MS",
            "license": "RCP1544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MAGNOLIA",
            "affiliation": "N",
            "address_1": "159 Reagan Dr",
            "city": "Magnolia",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396522903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angel Wings Community Healthcare Center LLC
• Angel Wings Transit Inc
• Angel Wings, LLC
• Angel Wings, LLC Group Home & Personal and Respite Care Services
• Kirsten Leanna Ashley, PTA

• General Care Registered Respiratory Therapist in Magnolia, MS
• Providers in Magnolia, MS by specialty
• General Care Registered Respiratory Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.