Individual provider Active NPI

Amanda Knapp

  • Speech-Language Pathologist
  • Williamstown, NJ
National Provider Identifier
1396429361
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00845200 Issued in NJ
Practice address
1035 N Black Horse Pike Ste 6
Williamstown, NJ 08094-2840
Phone
(856) 885-2493
NPI assigned
Jun 12, 2023
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 41YS00845200 NJ Primary

Addresses

Primary practice location

1035 N Black Horse Pike Ste 6
Williamstown, NJ 08094-2840

Mailing address

271 S Haviland Ave
Audubon, NJ 08106-1125
Phone (856) 718-1179

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

State licenses

LicenseStateTypeSpecialty
41YS00845200NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Technology for Education & Communication Consulting Inc. Speech-Language Pathologist CurrentSince Jun 18, 2023 Accepting new patients

Locations

1035 N Black Horse Pike
Ste 6
Williamstown, NJ 08094
Phone (856) 304-8235

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1396429361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 S HAVILAND AVE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061125",
            "telephone_number": "856-718-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N BLACK HORSE PIKE STE 6",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080942840",
            "telephone_number": "856-885-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00845200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.