Amanda Nicholle Sandoval, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116134 Issued in TX

Practice address

9760 La Branch Dr
Corpus Christi, TX 78410-1538

Phone

(261) 903-6528

NPI assigned

Jun 14, 2022

Last updated

Jun 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1063142883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E RICHARD AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783634609",
            "telephone_number": "361-228-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 LA BRANCH DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784101538",
            "telephone_number": "261-903-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "AMANDA",
        "middle_name": "NICHOLLE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST TX",
            "identifier": "116134",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget M Sanders, M.D.
• Charles Sanders, M.D.
• Howard Django Sanders, LMT
• Rhiannon Sanders
• Katrina Sanderson, OT
• David Sandoval
• Elizabeth Sandoval
• Lara Dawn Sandoval
• Lisa Angel Sandoval
• Melanie Stephanie Sandoval, CLD, CBE, CDT

• Speech-Language Pathologist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.