Amanda Kate Woodmansee

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP6855 Issued in AZ

Practice address

4600 E Shea Blvd
Suite 101
Phoenix, AZ 85028-6024

Phone

(602) 619-6061

Fax

(480) 998-8215

NPI assigned

Jun 23, 2010

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

Other names 1

• Amanda Kate Van Vianen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1326359571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 E SHEA BLVD",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286024",
            "telephone_number": "602-619-6061",
            "fax_number": "480-998-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E SHEA BLVD",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286024",
            "telephone_number": "602-619-6061",
            "fax_number": "480-998-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODMANSEE",
        "first_name": "AMANDA",
        "middle_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP6855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "VAN VIANEN",
            "middle_name": "KATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Daniel Woodbury, DMD
• Kwesi Woode, PMHNP
• Mark Joseph Woodland, D.D.S.
• Dara Woodley
• Robert Leslie Woodley
• Jodi Woodnick
• Kayla Woodring, DO
• Sheila Ann Woodroffe, MS, RD
• Gerald Patrick Woodrow, D.D.S.
• Ben Woodruff, LCSW

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.