Individual provider Active NPI

Amanda Monique Carter, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Frisco, TX
National Provider Identifier
1366720559
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105288 Issued in TX
Practice address
12922 Ambrose Dr
Frisco, TX 75035-2360
Phone
(214) 793-8545
Fax
(469) 579-4381
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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 105288 TX Primary

Addresses

Primary practice location

12922 Ambrose Dr
Frisco, TX 75035-2360

Mailing address

12922 Ambrose Dr
Frisco, TX 75035-2360
Phone (214) 793-8545

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
105288TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Therapy by Design Speech-Language Pathologist Current Accepting new patients
Therapy by Design, LLC Speech-Language Pathologist Current 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1366720559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12922 AMBROSE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352360",
            "telephone_number": "214-793-8545",
            "fax_number": "469-579-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12922 AMBROSE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352360",
            "telephone_number": "214-793-8545",
            "fax_number": "469-579-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "AMANDA",
        "middle_name": "MONIQUE",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.