Amanda Rose Jager

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

850 S Hewitt Rd
Ypsilanti, MI 48197-4594

Phone

(734) 544-5561

Fax

(734) 527-5981

NPI assigned

Aug 12, 2021

Last updated

Apr 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creating Brighter Futures

  • Behavior Analyst
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  • NPI 1750999249
  NPD (past)
• Creating Brighter Futures, Inc

  • Behavior Analyst
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  • NPI 1881939346

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1265107122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S HEWITT RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974594",
            "telephone_number": "734-544-5561",
            "fax_number": "734-527-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S HEWITT RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974594",
            "telephone_number": "734-544-5561",
            "fax_number": "734-527-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGER",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane M Jacobi, OD
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• Salam A Jafar, MD
• Jaime Michelle Jaffee
• Rajasekhar Jagarlamudi, MD
• Kim Marie Jaggers, M.D.
• Swathi B Jallipalli, MD
• Suhur Jama
• James E Berg DDS Ms
• James R Gilsdorf MD PC

• Speech-Language Pathologist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.