DR. AMANDA R SELF M.D.
NPI 1669548673
General Practice in Fpo, AP

Q: What is Amanda Self's NPI number?

The NPI number for Amanda Self is 1669548673. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Amanda Self's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Self was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2006PECOS Enrolled

7TH COMM BN HQ CO BAS, UNIT 35610, FPO, AP 96606(318) 402-0604 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Amanda R Self M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMANDA R SELF M.D. (NPI 1669548673) is an individual general practice provider in Fpo, AP, licensed in Indiana (01062935A) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669548673

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. AMANDA R SELFCredential: M.D.

Location Address7TH COMM BN HQ CO BAS, UNIT 35610Fpo, AP 96606-5610

Mailing Address3944 Highway 175Frierson, LA 71027-2159 · (318) 402-0604

Phone(318) 402-0604

Sole ProprietorNo

Enumeration DateNovember 28, 2006

Last NPPES UpdateApril 20, 2008

✔ NPI 1669548673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IN · 01062935A

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda R Self M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Self's NPI number?

The NPI number for Amanda Self is 1669548673. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Amanda Self located?

Amanda Self practices at 7th Comm Bn Hq Co Bas Unit 35610, Fpo, AP 96606. The listed phone number is (318) 402-0604.

What is Amanda Self's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Amanda Self enrolled in Medicare?

Yes. Amanda Self is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Self was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.