Amanda Fitzgerald, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9494 Issued in MN

Practice address

905 Elm St
Farmington, MN 55024-1188

Phone

(651) 460-6285

Fax

(651) 252-2065

NPI assigned

Jul 12, 2023

Last updated

Jul 12, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Big Stone Therapies, IncGroup PAC ID 1254655434, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Big Stone Therapies, Inc

  • Physical Therapy Clinic/Center
  • Big Stone City, SD
  • NPI 1124044656

  MN, Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Big Stone Therapies Baxter, LLC

  • Physical Therapy Clinic/Center
  • Baxter, MN
  • NPI 1194020669

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1285313817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ELM ST",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550241188",
            "telephone_number": "651-460-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ELM ST",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550241188",
            "telephone_number": "651-460-6285",
            "fax_number": "651-252-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "AMANDA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmington Health Services (Trinity Terrace Assisted Living)
• Farmington Health Services (Trinity Suites)
• Farmington Health Services (Trinity Care Center)
• Joel Alan Fenske, DC
• Fink Family Chiropractic, PA (Integrity Chiropractic)
• Barbara Jean Flaherty
• Gabrielle Fox
• Lisa Fox, RN
• Rose Froehle
• Tessa Fultz, LICSW

• Speech-Language Pathologist in Farmington, MN
• Providers in Farmington, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.