Active NPI
Amanda Bridges Maxwell, M.S., CCC-SLP
- Speech-Language Pathologist
- Birmingham, AL
National Provider Identifier
1255644266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3077
- Practice address
- 1025 23Rd St S
Birmingham, AL 35205-2499 - Phone
- (205) 870-4241
- NPI assigned
- Jul 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 3077 | AL | Primary |
Addresses
Primary practice location
1025 23Rd St S
Birmingham, AL 35205-2499
Mailing address
2209 Comer PL
Vestavia, AL 35216-2030
Phone (205) 870-4241
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3077 | AL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1255644266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 COMER PL",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352162030",
"telephone_number": "205-870-4241",
"fax_number": "205-320-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 23RD ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052499",
"telephone_number": "205-870-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "AMANDA",
"middle_name": "BRIDGES",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.