Individual provider Active NPI

Amanda M Wilson, SLP

  • Speech-Language Pathologist
  • Topeka, KS
National Provider Identifier
1093364739
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4774 Issued in KS
Practice address
2660 SW 3Rd St
Topeka, KS 66606-2442
Phone
(785) 354-6116
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4774 KS Primary

Addresses

Primary practice location

2660 SW 3Rd St
Topeka, KS 66606-2442

Mailing address

2660 SW 3Rd St
Topeka, KS 66606-2442
Phone (785) 354-6116

Other practice location 1

1504 SW 8th Ave
Topeka, KS 66606-1632
Phone (785) 354-6761

Other names 1

  • Amanda Platt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190924002724 KS Practitioner - Qualified Speech Language Pathologist 1557691110 Reassigns benefits to 1 organization
I20241017000766 NE Practitioner - Qualified Speech Language Pathologist 1557691110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3525KSMDSpeech-Language Pathologist
4774KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan'S Boys' Home CurrentSince Aug 5, 2024 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Sep 13, 2019 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Sep 13, 2019 Accepting new patients
ENT Services PC Speech-Language Pathologist Past Accepting new patients
Father Flanagan'S Boys Home Past Accepting new patients

Locations

2660 SW 3rd St
Topeka, KS 66606
Phone (785) 270-8880

901 SW Garfield Ave
Topeka, KS 66606

1504 SW 8th Ave
Topeka, KS 66606
Phone (785) 232-8566

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

425 N 30th St
Omaha, NE 68131
Phone (402) 452-5000

555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1093364739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-354-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-354-6116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 SW 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061632",
            "country_code": "US",
            "telephone_number": "785-354-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PLATT",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.