Amanda Diane Henninger, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3630 Issued in KY

Practice address

342 Bowerwood Dr
Richmond, KY 40475-2734

Phone

(859) 200-9563

NPI assigned

Aug 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amanda Diane Warren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1154553576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 BOWERWOOD DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752734",
            "telephone_number": "859-200-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 BOWERWOOD DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752734",
            "telephone_number": "859-200-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGER",
        "first_name": "AMANDA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WARREN",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Ann Heist, PT
• Kimberly Lynn Helton, PHARMD
• Kristina R Helton, DPT
• Mekaela Faith Helton, LCSW
• Martina K Henderson
• Kyrsten Henry, ATC
• Robert Henry, LDO
• Brandon David Hensley, ATC
• Tyler P Henson, OTR/L
• Amey Marie Herald, M.S., RD/LD

• Speech-Language Pathologist in Richmond, KY
• Providers in Richmond, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.