Active NPI
Amy Faith Tomlinson, M.A., CCC-SLP
- Speech-Language Pathologist
- Gainesville, FL
National Provider Identifier
1366583072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6646
- Practice address
- 250 NW 76TH Dr
Gainesville, FL 32607-6668 - Phone
- (352) 745-2752
- Fax
- (352) 505-6383
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SA6646 | FL | Primary |
Addresses
Primary practice location
250 NW 76TH Dr
Gainesville, FL 32607-6668
Mailing address
2692 SE County Road 21B
Melrose, FL 32666-5112
Phone (352) 745-2752
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887603700 | Medicaid | FL | |
| S2400 | Other | FL | BLUE CROSS & BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | amy@funtherapysolutions.com | Direct |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA6646 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Therapy Center, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Fundamental Therapy Solutions
- Speech-Language Pathologist
- Gainesville, FL
- NPI 1114068822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1366583072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2692 SE COUNTY ROAD 21B",
"city": "MELROSE",
"state": "FL",
"postal_code": "326665112",
"telephone_number": "352-745-2752",
"fax_number": "352-335-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 NW 76TH DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326076668",
"telephone_number": "352-745-2752",
"fax_number": "352-505-6383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLINSON",
"first_name": "AMY",
"middle_name": "FAITH",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887603700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "S2400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "amy@funtherapysolutions.com",
"affiliation": "N",
"endpointDescription": "secure work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "250 NW 76th Dr",
"city": "Gainesville",
"state": "FL",
"country_code": "US",
"postal_code": "326076668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.