Individual provider Active NPI

Amy Viti, MS CCC-SLP

  • Speech-Language Pathologist
  • Drums, PA
National Provider Identifier
1346897048
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL014045 Issued in PA
Practice address
773 Saint Johns Rd
Drums, PA 18222-1803
Phone
(570) 788-8320
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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 SL014045 PA Primary

Addresses

Primary practice location

773 Saint Johns Rd
Drums, PA 18222-1803

Mailing address

800 Main St
Sugar Notch, PA 18706-2018
Phone (570) 417-5128

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

LicenseStateTypeSpecialty
SL014045PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
LG Intervention Specialists, Inc. Speech-Language Pathologist PastSince Aug 25, 2019 Accepting new patients
Early Years Intervention Services, Inc. Speech-Language Pathologist PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 2

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1346897048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "SUGAR NOTCH",
            "state": "PA",
            "postal_code": "187062018",
            "telephone_number": "570-417-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 SAINT JOHNS RD",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "182221803",
            "telephone_number": "570-788-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITI",
        "first_name": "AMY",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drums, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.