Individual provider Active NPI

Amanda N. Cario-Coffman, M.S.CCC/SLP

  • Speech-Language Pathologist
  • Washington, PA
National Provider Identifier
1194996967
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL008141 Issued in PA
Practice address
655 Jefferson Ave
Washington, PA 15301-4118
Phone
(724) 223-7803
Fax
(724) 223-7804
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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 SL008141 PA Primary

Addresses

Primary practice location

655 Jefferson Ave
Washington, PA 15301-4118

Mailing address

190 N Main St
Suite 306
Washington, PA 15301-4349
Phone (724) 229-0851

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
SL008141PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1194996967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST",
            "address_2": "SUITE 306",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014349",
            "telephone_number": "724-229-0851",
            "fax_number": "724-229-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 JEFFERSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014118",
            "telephone_number": "724-223-7803",
            "fax_number": "724-223-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIO-COFFMAN",
        "first_name": "AMANDA",
        "middle_name": "N.",
        "credential": "M.S.CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.