Active NPI
Amber Rae West, MS, CCC-SLP
- Speech-Language Pathologist
- South Charleston, WV
National Provider Identifier
1316073000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1034
- Practice address
- 1002 Rustling Rd
South Charleston, WV 25303-2725 - Phone
- (304) 550-6965
- NPI assigned
- Feb 26, 2007
- 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 | SLP-1034 | WV | Primary |
Addresses
Primary practice location
1002 Rustling Rd
South Charleston, WV 25303-2725
Mailing address
1002 Rustling Rd
South Charleston, WV 25303-2725
Phone (304) 550-6965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810007148 | Medicaid | WV |
Other names 1
- Amber Rae Tincher
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 |
|---|---|---|---|
| SLP-1034 | WV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1316073000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 RUSTLING RD",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253032725",
"telephone_number": "304-550-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 RUSTLING RD",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253032725",
"telephone_number": "304-550-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "AMBER",
"middle_name": "RAE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-1034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810007148",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "TINCHER",
"middle_name": "RAE",
"credential": "MS, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Charleston, WV
- West Virginia Cornea & Cataract Center of Excellence
- West Virginia Dermatology and Skin Surgery Center
- West Virginia Laboratories
- West Virginia Sleep Solutions, PLLC
- West Virginia University Physician of Charleston-Valley Center
- James Elliott West
- Mary E. West, CRNA
- Stacey West, PTA
- Kristia Westfall
- Lawrence Tanner Westfall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.