Individual provider Active NPI

Amy Kleinrichert Hurt, MS CCC-SLP

  • Speech-Language Pathologist
  • Blountstown, FL
National Provider Identifier
1164756359
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10034 Issued in FL
Practice address
19977 N.E. Marie Ave.
Blountstown, FL 32424
Phone
(850) 674-3885
NPI assigned
Sep 22, 2009
Last updated
Sep 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA10034 FL Primary

Addresses

Primary practice location

19977 N.E. Marie Ave.
Blountstown, FL 32424

Mailing address

19977 NE Marie Ave
Blountstown, FL 32424
Phone (850) 674-3885

Other names 1

  • Amy Kleinrichert Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA10034FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1164756359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19977 NE MARIE AVE",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "32424",
            "telephone_number": "850-674-3885",
            "fax_number": "850-674-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19977 N.E. MARIE AVE.",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "32424",
            "telephone_number": "850-674-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "AMY",
        "middle_name": "KLEINRICHERT",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KLEINRICHERT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blountstown, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.