Active NPI
Amanda Roberts
- Speech-Language Pathologist
- Canton, OH
National Provider Identifier
1154745156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP5899
- Practice address
- 305 McKinley Ave NW
Canton, OH 44702-1717 - Phone
- (330) 438-2551
- Fax
- (330) 430-4230
- NPI assigned
- Feb 11, 2014
- Sex
- Female
- Sole proprietor
- No
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 | SP5899 | OH | Primary |
Addresses
Primary practice location
305 McKinley Ave NW
Canton, OH 44702-1717
Mailing address
305 McKinley Ave NW
Canton, OH 44702-1717
Phone (330) 438-2551
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP5899 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Education Canton City School District | Past | Accepting new patients | |
| Canton City School District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Canton, OH
- NPI 1932308897
-
- Local Education Agency (LEA)
- Canton, OH
- NPI 1508276171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1154745156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 MCKINLEY AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021717",
"telephone_number": "330-438-2551",
"fax_number": "330-430-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MCKINLEY AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021717",
"telephone_number": "330-438-2551",
"fax_number": "330-430-4230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP5899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.