Amanda Kate Calderon, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

108345 Issued in TX

Practice address

1000 Saint Louis Ave Ste 102
Fort Worth, TX 76104-3377

Phone

(817) 921-5020

Fax

(817) 698-9506

NPI assigned

Apr 19, 2022

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1205579133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 DUNSTER LN",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761312281",
            "telephone_number": "903-467-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAINT LOUIS AVE STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043377",
            "telephone_number": "817-921-5020",
            "fax_number": "817-698-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "AMANDA",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Alise Cain, BS
• Cait Care Providers PLLC
• Robert Louis Caivano, F.N.P.
• Ana Cajiga Garcia
• Nicole Marie Calcote, CPNP-PC
• Glendy Belle Calderon
• Joana Medina Calderon, LMSW
• Alita Peltier Caldwell, DDS, MD
• Emily Caldwell, FNP-C
• Jason Christopher Caldwell, M.D.

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

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

Verify at the official NPI Registry.