Individual provider Active NPI

Amy Cherese Kinser, MS-CCC-SLP

  • Speech-Language Pathologist
  • Lubbock, TX
National Provider Identifier
1366910259
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105325 Issued in TX
Practice address
6502 Slide Rd Ste 204
Lubbock, TX 79424-1311
Phone
(972) 756-0500
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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 105325 TX Primary

Addresses

Primary practice location

6502 Slide Rd Ste 204
Lubbock, TX 79424-1311

Mailing address

6502 Slide Rd Ste 204
Lubbock, TX 79424-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418003874 TX Practitioner - Qualified Speech Language Pathologist 3870932130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Texas a & M University System, HSC, College of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Dumas Physical Therapy, LLCGroup PAC ID 3577615012, 8 clinicians

Practice addresses (Care Compare)

9805 FM
2219 Suite 400
Amarillo, TX 79119-0072
Phone (806) 705-8866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105325TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dumas Physical Therapy, LLC Speech-Language Pathologist CurrentSince Apr 3, 2024 Accepting new patients

Locations

9805 FM 2219
Ste 400
Amarillo, TX 79119
Phone (806) 705-8866

515 E 1st St
Dumas, TX 79029
Phone (806) 934-2634

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.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1366910259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 SLIDE RD STE 204",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 SLIDE RD STE 204",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241311",
            "telephone_number": "972-756-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSER",
        "first_name": "AMY",
        "middle_name": "CHERESE",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.