Amanda Lynne Weissert, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4067 Issued in TN

Practice address

529 Midway Cir
Brentwood, TN 37027-5178

Phone

(785) 317-3832

NPI assigned

Aug 23, 2011

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

Other names 1

• Amanda Johnson Former name

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1245510189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 SPRING CREEK DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372095154",
            "telephone_number": "785-317-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MIDWAY CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275178",
            "telephone_number": "785-317-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSERT",
        "first_name": "AMANDA",
        "middle_name": "LYNNE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen David Webb, PHARMD
• Roman Weber, OTR/L
• Anna Wehby
• Rebecca Weimer
• Jessica Weirback, CNIM
• Melissa Weitekamp, MS CRC
• Well Health Brentwood PLLC
• Wellbee One (Ellie Mental Health of Nashville)
• Suzanne Weller
• Wellington Place Inc

• Speech-Language Pathologist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.