Organization Active NPI

Amplify Speech & Language Services

  • Speech-Language Pathologist
  • Charleston, SC
National Provider Identifier
1073197075
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AMPLIFY SPEECH & LANGUAGE SERVICES
Practice address
109 Register Rd
Charleston, SC 29409-0001
Phone
(404) 667-9032
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Jennifer Wimer, MS, CCC-SLPNPI 1629352299
Title
Speech-Language Pathologist
Phone
(404) 667-9032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

109 Register Rd
Charleston, SC 29409-0001

Mailing address

171 Moultrie St MSC Box 146
Charleston, SC 29409-0001
Phone (404) 667-9032

National Provider Directory

National Provider Directory

Locations

109 Register Rd
Charleston, SC 29409
Phone (404) 667-9032

171 Moultrie St
#146
Charleston, SC 29409

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1073197075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MOULTRIE ST MSC BOX 146",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294090001",
            "telephone_number": "404-667-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 REGISTER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294090001",
            "telephone_number": "404-667-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLIFY SPEECH & LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "WIMER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-667-9032",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.