Amanda Tantillo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

40 Devereux Way
Red Hook, NY 12571-2268

Phone

(845) 758-1899

NPI assigned

Jul 15, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1235701525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DEVEREUX WAY",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125712268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DEVEREUX WAY",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125712268",
            "telephone_number": "845-758-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTILLO",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Smith, LCSWR
• Barbara Gail Solomon, LCSWR
• St Peters Health Partners Medical Associates, PC
• James Earl Standefer Jr., M.D.
• Nikki Takahashi
• The Devereux Foundation
• The Devereux Foundation
• Stacie Marie Totman, OTR/L
• Caroline Isabelle Tuton, LPN
• Kimberley Vanpelt-Cathcart, LPN

• Speech-Language Pathologist in Red Hook, NY
• Providers in Red Hook, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.