Active NPI
Amy Suzan Taylor-Restine, SLP
- Speech-Language Pathologist
- Amarillo, TX
National Provider Identifier
1164145876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104411
- Practice address
- 8100 Pineridge Dr
Amarillo, TX 79119-4929 - Phone
- (806) 677-2479
- Fax
- (806) 677-2499
- NPI assigned
- Sep 19, 2022
- 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 | 104411 | TX | Primary |
Addresses
Primary practice location
8100 Pineridge Dr
Amarillo, TX 79119-4929
Mailing address
8100 Pineridge Dr
Amarillo, TX 79119-4929
Phone (806) 677-2479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104411 | Other | TX | SPEECH THERAPY LICENSE |
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 |
|---|---|---|---|
| 104411 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1164145876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 PINERIDGE DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791194929",
"telephone_number": "806-677-2479",
"fax_number": "806-677-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 PINERIDGE DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791194929",
"telephone_number": "806-677-2479",
"fax_number": "806-677-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-RESTINE",
"first_name": "AMY",
"middle_name": "SUZAN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "104411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH THERAPY LICENSE",
"identifier": "104411",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.