Individual provider Active NPI

Amber Nichole Pratt, MA, CCC-SLP

  • Speech-Language Pathologist
  • Jackson, OH
National Provider Identifier
1023176104
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP8331 Issued in OH
Practice address
822 Sellars Dr
Jackson, OH 45640
Phone
(740) 286-6491
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 OH
Speech-Language Pathologist 235Z00000X SP8331 OH Primary

Addresses

Primary practice location

822 Sellars Dr
Jackson, OH 45640

Mailing address

822 Sellars Drive
Jackson, OH 45640
Phone (740) 286-6491

Other practice location 1

504 McCarty Ln
Jackson, OH 45640-7019
Phone (740) 286-5455

Other names 1

  • Amber Pratt Cashmore 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP8331OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Cbmrdd PastSince Jul 24, 2022 Accepting new patients
Hometown Pediatric Care, LLC Speech-Language Pathologist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023176104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 SELLARS DRIVE",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-286-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 SELLARS DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-286-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 McCarty Ln",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "OH",
            "postal_code": "456407019",
            "country_code": "US",
            "telephone_number": "740-286-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "AMBER",
        "middle_name": "NICHOLE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP8331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "CASHMORE",
            "middle_name": "PRATT",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.