Individual provider Active NPI

Amanda Marie Orfanos

  • Speech-Language Pathologist
  • Henderson, NV
National Provider Identifier
1336514561
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1797 Issued in NV
Practice address
3195 Saint Rose Pkwy
#201
Henderson, NV 89052-3501
Phone
(702) 558-9900
NPI assigned
Dec 14, 2015
Last updated
Dec 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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-1797 NV Primary

Addresses

Primary practice location

3195 Saint Rose Pkwy
#201
Henderson, NV 89052-3501

Mailing address

1453 European Dr
Henderson, NV 89052-4022
Phone (702) 558-9900

Other names 1

  • Amanda M Frehner 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-1797NVMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1336514561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 EUROPEAN DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524022",
            "telephone_number": "702-558-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY",
            "address_2": "#201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523501",
            "telephone_number": "702-558-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORFANOS",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FREHNER",
            "middle_name": "M",
            "credential": "M.S.CFY-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.