Amanda Moore Chastain, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3648 Issued in KY

Practice address

2035 Regency Rd
Suite 5
Lexington, KY 40503-2333

Phone

(859) 402-1553

Fax

(859) 402-1553

NPI assigned

Aug 11, 2009

Last updated

Aug 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

• The Speech Network, Inc.

  • Speech-Language Pathologist
  • Lexington, KY
  • NPI 1881820140
  Authorized official Same address or phone

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1033341961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 REGENCY RD",
            "address_2": "SUITE 5",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032333",
            "telephone_number": "859-402-1553",
            "fax_number": "859-402-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 REGENCY RD",
            "address_2": "SUITE 5",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032333",
            "telephone_number": "859-402-1553",
            "fax_number": "859-402-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN",
        "first_name": "AMANDA",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100286880",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000648031",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarrod Chase, LCSW
• Jeffrey Christopher Chase, MA, RBT
• Julie Michelle Chase, M.D., PH.D.
• Craig Alan Chasen, MD
• Janet Wolfson Chasen, AU.D.
• Anup Singh Chattha, MD
• Ahmad Zafar Chaudhry, M.D.
• Tariq E. Chaudry, MD
• Niraj R Chavan, MD, MPH
• Cassandra Marie Chavarria, P.A.

• Speech-Language Pathologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.