Active NPI
Amy Marie Campney
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1356000491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 119242
- Practice address
- 2525 Wallingwood Dr BLDG 2
Austin, TX 78746-6900 - Phone
- (512) 327-6179
- NPI assigned
- Dec 16, 2021
- Last updated
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 119242 | TX | Primary |
Addresses
Primary practice location
2525 Wallingwood Dr BLDG 2
Austin, TX 78746-6900
Mailing address
5406 Fairmont Cir
Austin, TX 78745-2759
Other practice location 1
1034 Liberty Park Dr
Austin, TX 78746-6891
Phone (512) 328-3775
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119242 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Speech Pathology Services, Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2525 Wallingwood Dr
Bldg 2
Austin, TX 78746
Phone (512) 327-6179
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1629158258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1356000491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5406 FAIRMONT CIR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787452759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR BLDG 2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466900",
"telephone_number": "512-327-6179"
}
],
"practiceLocations": [
{
"address_1": "1034 Liberty Park Dr",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787466891",
"country_code": "US",
"telephone_number": "512-328-3775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPNEY",
"first_name": "AMY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-16",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "119242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.