Active NPI
Ami Cherith Dean, M.S. CCC-SLP
- Speech-Language Pathologist
- Christiansbrg, VA
National Provider Identifier
1205120409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202006309
- Practice address
- 620 Magna Carta Via
Christiansbrg, VA 24073-1470 - Phone
- (540) 616-7260
- NPI assigned
- Jun 6, 2011
- Last updated
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30000075 | NC | |
| Speech-Language Pathologist | 235Z00000X | 2202006309 | VA | Primary |
Addresses
Primary practice location
620 Magna Carta Via
Christiansbrg, VA 24073-1470
Mailing address
620 Magna Carta Via
Christiansbrg, VA 24073-1470
Phone (540) 616-7260
Other practice location 1
210 Liberty Hill Rd
Lumberton, NC 28358-2442
Phone (540) 616-7260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30016196820002 | Medicaid | VA | |
| 1205120409 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30000075 | NC | MD | Speech-Language Pathologist |
| 2202006309 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1205120409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 MAGNA CARTA VIA",
"city": "CHRISTIANSBRG",
"state": "VA",
"postal_code": "240731470",
"telephone_number": "540-616-7260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 MAGNA CARTA VIA",
"city": "CHRISTIANSBRG",
"state": "VA",
"postal_code": "240731470",
"telephone_number": "540-616-7260"
}
],
"practiceLocations": [
{
"address_1": "210 Liberty Hill Rd",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "NC",
"postal_code": "283582442",
"country_code": "US",
"telephone_number": "540-616-7260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "AMI",
"middle_name": "CHERITH",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30000075",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202006309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30016196820002",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205120409",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Christiansbrg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.