Active NPI
Amanda Lee, M.S., CCC-SLP
- Speech-Language Pathologist
- Mitchell, IN
National Provider Identifier
1225445216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 46002485A
- Practice address
- 24 Teke Burton Dr
Mitchell, IN 47446-7360 - Phone
- (812) 849-2221
- NPI assigned
- Jul 22, 2014
- Last updated
- May 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 46002485A | IN | Primary |
Addresses
Primary practice location
24 Teke Burton Dr
Mitchell, IN 47446-7360
Mailing address
1613 S Dorchester Dr
Bloomington, IN 47401-6645
Phone (205) 919-5010
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46002485A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1225445216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 S DORCHESTER DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474016645",
"telephone_number": "205-919-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 TEKE BURTON DR",
"city": "MITCHELL",
"state": "IN",
"postal_code": "474467360",
"telephone_number": "812-849-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "AMANDA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46002485A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchell, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.