Active NPI
Amplify Speech & Language Services
- Speech-Language Pathologist
- Charleston, SC
National Provider Identifier
1073197075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Wimer, MS, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Marietta, GA
- NPI 1629352299
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.