Active NPI
Amy S Soule, CCC-SLP
- Speech-Language Pathologist
- Delhi, NY
National Provider Identifier
1114179488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017962-1
- Practice address
- 99 Main St
Delhi, NY 13753-1221 - Phone
- (607) 832-5200
- Fax
- (607) 832-5202
- NPI assigned
- Oct 18, 2008
- 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 | 017962-1 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 10966 | NC |
Addresses
Primary practice location
99 Main St
Delhi, NY 13753-1221
Mailing address
56225 State Highway 10
Bloomville, NY 13739-2154
Phone (607) 287-9144
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10966 | NC | MD | Mental Health Counselor |
| 017962-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1114179488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56225 STATE HIGHWAY 10",
"city": "BLOOMVILLE",
"state": "NY",
"postal_code": "137392154",
"telephone_number": "607-287-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 MAIN ST",
"city": "DELHI",
"state": "NY",
"postal_code": "137531221",
"telephone_number": "607-832-5200",
"fax_number": "607-832-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOULE",
"first_name": "AMY",
"middle_name": "S",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-18",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017962-1",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "10966",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delhi, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.