Individual provider Active NPI

Amy Jean Meeter, M.S., CF-SLP

  • Speech-Language Pathologist
  • Moreno Valley, CA
National Provider Identifier
1124417290
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP9428 Issued in AZ
Practice address
10630 Pepper Ridge LN
Moreno Valley, CA 92557-2957
Phone
(951) 489-8200
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X
Speech-Language Pathologist 235Z00000X TSLP9428 AZ Primary

Addresses

Primary practice location

10630 Pepper Ridge LN
Moreno Valley, CA 92557-2957

Mailing address

10630 Pepper Ridge LN
Moreno Valley, CA 92557-2957
Phone (951) 489-8200

Other identifiers 1

IdentifierTypeStateIssuer
0211305MedicaidAZ

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
TSLP9428AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1124417290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 PEPPER RIDGE LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572957",
            "telephone_number": "951-489-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 PEPPER RIDGE LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572957",
            "telephone_number": "951-489-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEETER",
        "first_name": "AMY",
        "middle_name": "JEAN",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP9428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211305",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.