Individual provider Active NPI

Amanda Marrow Williams

  • Speech-Language Pathologist
  • Albemarle, NC
National Provider Identifier
1194655183
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6423 Issued in NC
Practice address
1121 Austin St
Albemarle, NC 28001-3206
Phone
(910) 578-7116
NPI assigned
May 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 6423 NC Primary

Addresses

Primary practice location

1121 Austin St
Albemarle, NC 28001-3206

Mailing address

5239 Woodrun on Tillery
Mount Gilead, NC 27306-9593
Phone (910) 578-7116

Other identifiers 2

IdentifierTypeStateIssuer
6423OtherNCNC BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGIST LICENSE
12089514OtherNCAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION ASHA

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

LicenseStateTypeSpecialty
6423NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1194655183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 WOODRUN ON TILLERY",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "273069593",
            "telephone_number": "910-578-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 AUSTIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013206",
            "telephone_number": "910-578-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMANDA",
        "middle_name": "MARROW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "6423",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION ASHA",
            "identifier": "12089514",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.