Active NPI
Amanda Tarrell, M.S., CCC-SLP
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1366073900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146014920
- Practice address
- 1918 W Melrose St
Chicago, IL 60657-2033 - Phone
- (312) 600-7230
- NPI assigned
- Feb 2, 2020
- 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 | 146014920 | IL | Primary |
Addresses
Primary practice location
1918 W Melrose St
Chicago, IL 60657-2033
Mailing address
3310 W Palmer St Apt 1a
Chicago, IL 60647-2771
Phone (402) 709-9954
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146014920 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580601600000",
"number": "1366073900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 W PALMER ST APT 1A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472771",
"telephone_number": "402-709-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 W MELROSE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572033",
"telephone_number": "312-600-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARRELL",
"first_name": "AMANDA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-02",
"last_updated": "2020-02-02",
"certification_date": "2020-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146014920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.