Active NPI
Amy Renae Herbert, CCC, SLP
- Speech-Language Pathologist
- Ocean Springs, MS
National Provider Identifier
1053705129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 6017 Washington Ave
Ocean Springs, MS 39564-2648 - Phone
- (228) 697-2269
- NPI assigned
- Mar 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | AL | Primary |
Addresses
Primary practice location
6017 Washington Ave
Ocean Springs, MS 39564-2648
Mailing address
6017 Washington Ave
Ocean Springs, MS 39564-2648
Phone (228) 697-2269
Other practice location 1
8909 Rand Ave
Daphne, AL 36526-9126
Phone (251) 210-1632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14109551 | Other | AL | ASHA CERTIFICATION |
Other names 1
- Amy Renae Herbert
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3964 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533340800000",
"number": "1053705129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6017 WASHINGTON AVE",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395642648",
"telephone_number": "228-697-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6017 WASHINGTON AVE",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395642648",
"telephone_number": "228-697-2269"
}
],
"practiceLocations": [
{
"address_1": "8909 Rand Ave",
"address_purpose": "LOCATION",
"city": "Daphne",
"state": "AL",
"postal_code": "365269126",
"country_code": "US",
"telephone_number": "251-210-1632",
"fax_number": "251-625-3152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERBERT",
"first_name": "AMY",
"middle_name": "RENAE",
"credential": "CCC, SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-26",
"last_updated": "2018-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA CERTIFICATION",
"identifier": "14109551",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "HERBERT",
"middle_name": "RENAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.