Individual provider Active NPI

Amanda J. Krol, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Plymouth, MA
National Provider Identifier
1053647552
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6595 Issued in MA
Practice address
124 Long Pond Rd
Suite 9
Plymouth, MA 02360-2664
Phone
(508) 364-3585
NPI assigned
Oct 19, 2009
Last updated
May 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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 6595 MA Primary
Speech-Language Pathologist 235Z00000X 41YS00508600 NJ

Addresses

Primary practice location

124 Long Pond Rd
Suite 9
Plymouth, MA 02360-2664

Mailing address

37 Paula Rd
Plymouth, MA 02360-6212
Phone (508) 364-3585

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
6595MAMDMental Health Counselor
41YS00508600NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1053647552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PAULA RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023606212",
            "telephone_number": "508-364-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LONG POND RD",
            "address_2": "SUITE 9",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602664",
            "telephone_number": "508-364-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROL",
        "first_name": "AMANDA",
        "middle_name": "J.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6595",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00508600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.