Active NPI
Amy Cherese Kinser, MS-CCC-SLP
- Speech-Language Pathologist
- Lubbock, TX
National Provider Identifier
1366910259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105325
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105325 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dumas Physical Therapy, LLC | Speech-Language Pathologist | Current | 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.