Individual provider Active NPI

Amanda-Jeanne Naomi Woods, M.S., CF-SLP

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1053634923
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP6505 Issued in AZ
Practice address
1745 S Alma School Rd
Ste. 145
Mesa, AZ 85210-3009
Phone
(480) 963-3634
Fax
(480) 855-8384
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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 TSLP6505 AZ Primary

Addresses

Primary practice location

1745 S Alma School Rd
Ste. 145
Mesa, AZ 85210-3009

Mailing address

1745 S Alma School Rd
Ste. 145
Mesa, AZ 85210-3009
Phone (480) 963-3634

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 Science

State licenses

LicenseStateTypeSpecialty
TSLP6505AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baio Enterprises Inc PastSince Sep 1, 2018 Accepting new patients
Baio Enterprises Speech-Language Pathologist 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": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1053634923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 S ALMA SCHOOL RD",
            "address_2": "STE. 145",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103009",
            "telephone_number": "480-963-3634",
            "fax_number": "480-855-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 S ALMA SCHOOL RD",
            "address_2": "STE. 145",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103009",
            "telephone_number": "480-963-3634",
            "fax_number": "480-855-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "AMANDA-JEANNE",
        "middle_name": "NAOMI",
        "name_prefix": "Miss",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP6505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.