Individual provider Active NPI

Amanda Leann Carter

  • Speech-Language Pathologist
  • Rogersville, TN
National Provider Identifier
1003354481
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5548 Issued in TN
Practice address
141 Little Carter Rd
Rogersville, TN 37857-5500
Phone
(423) 639-4194
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5548 TN Primary

Addresses

Primary practice location

141 Little Carter Rd
Rogersville, TN 37857-5500

Mailing address

141 Little Carter Rd
Rogersville, TN 37857-5500
Phone (423) 639-4194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228002495 TN Practitioner - Qualified Speech Language Pathologist 1951751221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5548TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Rehabilitation Center, Inc. CurrentSince Nov 18, 2023 Accepting new patients
Innovative Therapy Solutions, PLLC Speech-Language Pathologist Past Accepting new patients

Locations

2435 Jacksboro Pike
La Follette, TN 37766
Phone (423) 566-2250

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1003354481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LITTLE CARTER RD",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378575500",
            "telephone_number": "423-639-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LITTLE CARTER RD",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378575500",
            "telephone_number": "423-639-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "AMANDA",
        "middle_name": "LEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.