Amy Barreras

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP5469 Issued in AZ

Practice address

125 E Elm Ave
Ste 103
Flagstaff, AZ 86001-3258

Phone

(928) 779-1679

Fax

(928) 779-2822

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Hodgson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northland-Rural Therapy Associates, LLC

  • Specialist
  • Flagstaff, AZ
  • NPI 1376677914

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114130770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E ELM AVE",
            "address_2": "STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013258",
            "telephone_number": "928-779-1679",
            "fax_number": "928-779-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E ELM AVE",
            "address_2": "STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013258",
            "telephone_number": "928-779-1679",
            "fax_number": "928-779-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERAS",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP5469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HODGSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barnet Dulaney Perkins Eye Center, PC
• Barnet Dulaney Surgery Center Flagstaff
• Lynette Barnhart, NNP-BC
• Jane O Barnwell, MD
• Demetra Diane Barr Reynolds, M.D.
• Kathryn Sumpter Barrett, OTRL
• Shannon Barrett, PT, DPT
• Andrew Barringer, DO
• Dawn Beata Barrowman, FNP
• Cindy Barry

• Speech-Language Pathologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.