Amy Marie Williams

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202012211 Issued in VA

Practice address

69 Deane Rd
Ruckersville, VA 22968-3482

Phone

(434) 481-3524

NPI assigned

Jun 6, 2024

Sex

Female

Sole proprietor

Yes

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.

• Melanie E. Canada

  • Speech-Language Pathologist
  • Ruckersville, VA
  • NPI 1083840334
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2025.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1104667690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HATCHECHUBEE RD",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229633134",
            "telephone_number": "434-987-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 DEANE RD",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683482",
            "telephone_number": "434-481-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202012211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Dariska Walker, PHARM.D
• Jennifer Nicole Wallace
• Caitlin Warner
• Christopher Whynott, D.D.S.
• Jordan Dare Wilson, LPC
• Tabitha Monique Woodson, LPC

• All providers in Ruckersville, VA
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.