Active NPI
Amanda Leann Carter
- Speech-Language Pathologist
- Rogersville, TN
National Provider Identifier
1003354481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5548
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5548 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Rehabilitation Center, Inc. | Current | 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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- La Follette, TN
- NPI 1659485936
-
- Speech-Language Pathologist
- Morristown, TN
- NPI 1356494496
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.