Amanda Notestine, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.09912 Issued in OH

Practice address

167 E Washington Row
Sandusky, OH 44870-2609

Phone

(419) 217-7635

NPI assigned

Dec 8, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Peds on Wheels

  • Pediatrics Physician
  • Sandusky, OH
  • NPI 1225561467
  NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1144989062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 E WASHINGTON ROW",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702609",
            "telephone_number": "419-217-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 E WASHINGTON ROW",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702609",
            "telephone_number": "419-217-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTESTINE",
        "first_name": "AMANDA",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.09912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Ohio Medical Specialists, LLC
• Northern Ohio Medical Specialists, LLC
• Northern Ohio Medical Specialists,LLC
• Northern Ohio Psychological Services, Inc.
• Northern Ohio Surgical Center
• Dale Carl Novak I, O.D.
• Christine Annehope Nowak Lange, LPN
• Kristen Nowak, ED.S.
• Brandy Nuhfer
• O E Meyer Co

• Speech-Language Pathologist in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.