Amy Pierson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 8838 Issued in FL

Practice address

5165 Canal St
Milton, FL 32570-2256

Phone

(850) 623-4054

Fax

(850) 623-4987

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Amy Southerland 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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356411730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3358 INDIAN HILLS DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718728",
            "telephone_number": "850-994-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 CANAL ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702256",
            "telephone_number": "850-623-4054",
            "fax_number": "850-623-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "AMY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "005163",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "005163",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP STATE LICENSE",
            "identifier": "SA8838",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SOUTHERLAND",
            "credential": "M.ED., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elanor Peterson
• Mina Petrosino
• Jessalyn Elana Phelps, DPT
• Kelley Phelps, BCBA
• Carri L Phillips, A.R.N.P.
• Mandie M Pittman, NP-C
• Najma Pitts
• Pariss Plair
• Melissa Kay Pocta, M.D.
• Jodi L Pohlman, RBT

• Speech-Language Pathologist in Milton, FL
• Providers in Milton, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.