Individual provider Active NPI

Amy Simmons, MA, CCC-SLP

  • Speech-Language Pathologist
  • Laconia, NH
National Provider Identifier
1194049130
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1100 Issued in NH
Practice address
806 N Main St
Laconia, NH 03246-2603
Phone
(603) 524-9090
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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 1100 NH Primary

Addresses

Primary practice location

806 N Main St
Laconia, NH 03246-2603

Mailing address

806 N Main St
Laconia, NH 03246-2603
Phone (603) 524-9090

Other practice location 1

1 Verney Dr
Greenfield, NH 03047-5000
Phone (603) 547-3311

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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Boothby Therapy Services, LLC PastSince Jan 31, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1194049130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462603",
            "telephone_number": "603-524-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462603",
            "telephone_number": "603-524-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Verney Dr",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "NH",
            "postal_code": "030475000",
            "country_code": "US",
            "telephone_number": "603-547-3311",
            "fax_number": "603-547-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "AMY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.