Individual provider Active NPI

Amy Nucera, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Darien, CT
National Provider Identifier
1316188923
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5432 Issued in CT
Practice address
455 Post Rd Ste 202
Darien, CT 06820-3614
Phone
(203) 424-2584
NPI assigned
Mar 11, 2009
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3756 TN
Speech-Language Pathologist 235Z00000X 5432 CT Primary

Addresses

Primary practice location

455 Post Rd Ste 202
Darien, CT 06820-3614

Mailing address

455 Post Rd Ste 202
Darien, CT 06820-3614
Phone (203) 949-9337

Other practice location 1

2018 Exeter Rd
Germantown, TN 38138-3945
Phone (901) 756-4499

Other practice location 2

101 N Plains Industrial Rd
Wallingford, CT 06492-2360
Phone (203) 949-9337

Other names 1

  • Amy Powers Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
5432CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pediatric Therapy-Fairfield, Inc. Speech-Language Pathologist Past Accepting new patients
Nancy Whiteley Massey Speech-Language Pathologist Past Accepting new patients
Center for Pediatric Therapy-Fairfield, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1316188923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 POST RD STE 202",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203614",
            "telephone_number": "203-949-9337",
            "fax_number": "203-424-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 POST RD STE 202",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203614",
            "telephone_number": "203-424-2584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 Exeter Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383945",
            "country_code": "US",
            "telephone_number": "901-756-4499",
            "fax_number": "901-756-4485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Plains Industrial Rd",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064922360",
            "country_code": "US",
            "telephone_number": "203-949-9337",
            "fax_number": "203-284-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUCERA",
        "first_name": "AMY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3756",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "5432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "POWERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.