Individual provider Active NPI

Amanda Louise McNutt, SP

  • Speech-Language Pathologist
  • Fair Oaks, CA
National Provider Identifier
1295071793
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP- 18393 Issued in CA
Practice address
5200 Sunrise Blvd Ste 5
Fair Oaks, CA 95628-3500
Phone
(916) 827-0138
Fax
(916) 827-0893
NPI assigned
Jan 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP- 18393 CA Primary

Addresses

Primary practice location

5200 Sunrise Blvd Ste 5
Fair Oaks, CA 95628-3500

Mailing address

5200 Sunrise Blvd Ste 5
Fair Oaks, CA 95628-3500
Phone (559) 360-0531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210001410 CA Practitioner - Qualified Speech Language Pathologist 5092059600 Reassigns benefits to 1 organization
Practice locations: Carmichael, CA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5200 Sunrise Blvd
Suite 5
Fair Oaks, CA 95628-3500
Phone (916) 827-0138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18393CAMDAcupuncturist
SP- 18393CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Speech Services, Inc. Speech-Language Pathologist CurrentSince Oct 1, 2018 Accepting new patients

Locations

5931 Stanley Ave
Ste 6
Carmichael, CA 95608
Phone (916) 549-7058

5200 Sunrise Blvd
Ste 5
Fair Oaks, CA 95628
Phone (916) 827-0138

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1295071793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SUNRISE BLVD STE 5",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283500",
            "telephone_number": "559-360-0531",
            "fax_number": "916-827-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SUNRISE BLVD STE 5",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283500",
            "telephone_number": "916-827-0138",
            "fax_number": "916-827-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNUTT",
        "first_name": "AMANDA",
        "middle_name": "LOUISE",
        "credential": "SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP- 18393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.