Amanda Dawn Wiltrout, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL007225 Issued in PA

Practice address

335 Mulberry Cir
Mount Pleasant, PA 15666-3405

Phone

(724) 547-0560

NPI assigned

Feb 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1194993063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MULBERRY CIR",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156663405",
            "telephone_number": "724-547-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 MULBERRY CIR",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156663405",
            "telephone_number": "724-547-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTROUT",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry E Wilkins, D.C.
• Melissa Ann Wilkins, MPT
• Karen Anne Williams
• Gregory D Wilson, DC
• Jonathan M Wilson, MD
• Michelle Annette Yackovich, MS, ATC
• Matthew Yatsko, MS, LPC, NCC, DCC
• Yolanda Bastaich O.D.
• Yue Yu, DMD
• Mohammad Munir Zaitoon, MD

• Speech-Language Pathologist in Mt Pleasant, PA
• Providers in Mt Pleasant, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.