NPIMap

Individual provider Active NPI

Amanda Dimarco Uccardi

  • Speech-Language Pathologist
  • Savannah, GA
National Provider Identifier
1053525865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006652 Issued in GA
Practice address
1206 E 66TH St
Savannah, GA 31404-5704
Phone
(912) 355-4601
Fax
(912) 355-7935
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP006652 GA Primary

Addresses

Primary practice location

1206 E 66TH St
Savannah, GA 31404-5704

Mailing address

1206 E 66TH St
Savannah, GA 31404-5704
Phone (912) 355-4601

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Speech and Hearing Center Speech-Language Pathologist Past Accepting new patients
Advantis Therapy, LLC Past Accepting new patients

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053525865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045704",
            "telephone_number": "912-355-4601",
            "fax_number": "912-355-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045704",
            "telephone_number": "912-355-4601",
            "fax_number": "912-355-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCCARDI",
        "first_name": "AMANDA",
        "middle_name": "DIMARCO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.