Active NPI
Amanda Sherrill Harriss, M.A., CCC-SLP
- Speech-Language Pathologist
- Gastonia, NC
National Provider Identifier
1083698708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7564
- Practice address
- 3644 Catawba Creek Dr
Gastonia, NC 28056-8393 - Phone
- (704) 879-4240
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7564 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | IL |
Addresses
Primary practice location
3644 Catawba Creek Dr
Gastonia, NC 28056-8393
Mailing address
3644 Catawba Creek Dr
Gastonia, NC 28056-8393
Phone (704) 879-4240
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146006162 | IL | MD | Speech-Language Pathologist |
| 7564 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Therapy Group LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
3389 Sheridan St
Hollywood, FL 33021
Phone (954) 247-8757
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Hollywood, FL
- NPI 1568886471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1083698708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3644 CATAWBA CREEK DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280568393",
"telephone_number": "704-879-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3644 CATAWBA CREEK DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280568393",
"telephone_number": "704-879-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISS",
"first_name": "AMANDA",
"middle_name": "SHERRILL",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7564",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.