Individual provider Active NPI

Amanda L Shaffer

  • Speech-Language Pathologist
  • Greer, SC
National Provider Identifier
1124651377
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8158 Issued in SC
Practice address
361 Bucklebury Rd
Greer, SC 29651-7283
Phone
(864) 534-3625
NPI assigned
Feb 17, 2020
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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 8158 SC Primary

Addresses

Primary practice location

361 Bucklebury Rd
Greer, SC 29651-7283

Mailing address

361 Bucklebury Rd
Greer, SC 29651-7283

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL GoogleForms
SOAP URL Googleforms

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

LicenseStateTypeSpecialty
8158SCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1124651377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 BUCKLEBURY RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 BUCKLEBURY RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517283",
            "telephone_number": "864-534-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "AMANDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "GoogleForms",
            "affiliation": "N",
            "address_1": "200 Idonia Dr",
            "city": "Taylors",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296873813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Googleforms",
            "affiliation": "N",
            "address_1": "200 Idonia Dr",
            "city": "Taylors",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296873813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.