Individual provider Active NPI

Amy Spencer, SLP

  • Speech-Language Pathologist
  • Falmouth, ME
National Provider Identifier
1003962499
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2114 Issued in ME
Practice address
1 Mackworth Is
Falmouth, ME 04105-1900
Phone
(207) 749-8133
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP2114 ME Primary
Speech-Language Pathologist 235Z00000X 1071 NH

Addresses

Primary practice location

1 Mackworth Is
Falmouth, ME 04105-1900

Mailing address

55 Walnut St
South Portland, ME 04106-3734
Phone (207) 776-3585

Other practice location 1

55 Walnut St
South Portland, ME 04106-3734
Phone (207) 776-3585

Other practice location 2

827 State St
Apt. #2
Portsmouth, NH 03801-4330
Phone (603) 568-6873

Other names 1

  • Amy Hunt Former 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

State licenses

LicenseStateTypeSpecialty
1071NHMDChiropractor
SP2114MEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1003962499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WALNUT ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063734",
            "telephone_number": "207-776-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MACKWORTH IS",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051900",
            "telephone_number": "207-749-8133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Walnut St",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041063734",
            "country_code": "US",
            "telephone_number": "207-776-3585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "827 State St",
            "address_2": "Apt. #2",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014330",
            "country_code": "US",
            "telephone_number": "603-568-6873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "AMY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2114",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HUNT",
            "credential": "MS CCC/SLP, LSLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.