The Amoxie Educational Consulting Group LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

THE AMOXIE EDUCATIONAL CONSULTING GROUP LLC

Practice address

705 Acadia St
Mansfield, TX 76063-4104

Phone

(817) 706-4652

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Akweta E Hickman

Title

Chief Education Officer

Phone

(817) 706-4652

Specialties & licenses 7

Addresses

Other names 2

• Amoxie Group Doing business as
• Amoxie Transport Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

The Amoxie Educational Consulting Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Amoxie Educational Consulting Group LLC

  • Secured Medical Transport (VAN)
  • Mansfield, TX
  • NPI 1275333833
  NPD tax ID
• The Amoxie Educational Consulting Group LLC

  • Contractor
  • Mansfield, TX
  • NPI 1780471292
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chandler B. Ude, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Irving, TX
  • NPI 1962782045
  Medicare reassignment

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1215680657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WALNUT CREEK DR",
            "address_2": "STE 100-PMB 394",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-706-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 ACADIA ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634104",
            "telephone_number": "817-706-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMOXIE EDUCATIONAL CONSULTING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "E HICKMAN",
        "authorized_official_first_name": "AKWETA",
        "authorized_official_title_or_position": "CHIEF EDUCATION OFFICER",
        "authorized_official_telephone_number": "817-706-4652",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amoxie Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amoxie Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amoxie Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hearing and Speech Clinic/Center in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Hearing and Speech Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.