Active NPI
Amy Elizabeth Banks, MS CCC-SLP
- Speech-Language Pathologist
- Hohenwald, TN
National Provider Identifier
1154575975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3759
- Practice address
- 180 Charles Talley Rd
Hohenwald, TN 38462-5357 - Phone
- (931) 796-7938
- NPI assigned
- Nov 6, 2008
- Last updated
- Nov 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3759 | TN | Primary |
Addresses
Primary practice location
180 Charles Talley Rd
Hohenwald, TN 38462-5357
Mailing address
180 Charles Talley Rd
Hohenwald, TN 38462-5357
Phone (931) 796-7938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230816002787 | TN | Practitioner - Qualified Speech Language Pathologist | 0244692697 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1154575975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 CHARLES TALLEY RD",
"city": "HOHENWALD",
"state": "TN",
"postal_code": "384625357",
"telephone_number": "931-796-7938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 CHARLES TALLEY RD",
"city": "HOHENWALD",
"state": "TN",
"postal_code": "384625357",
"telephone_number": "931-796-7938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-06",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "3759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hohenwald, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.