Individual provider Active NPI

Amy Louise Buck, MS CCC- SLP

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1396895470
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9180 Issued in FL
Practice address
17110 Carrington Park Dr Apt 801
Tampa, FL 33647-2634
Phone
(813) 243-6076
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ3746 FL
Speech-Language Pathologist 235Z00000X SA9180 FL Primary

Addresses

Primary practice location

17110 Carrington Park Dr Apt 801
Tampa, FL 33647-2634

Mailing address

17110 Carrington Park Dr Apt 801
Tampa, FL 33647-2634
Phone (813) 243-6076

Other identifiers 2

IdentifierTypeStateIssuer
354957OtherFLWELLCARE
890741200MedicaidFL

Other names 1

  • Ms. Amy Louise Barekat Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130610000539 FL Practitioner - Qualified Speech Language Pathologist 7315186046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spotherapies LLCGroup PAC ID 1658769930, 2 clinicians

Practice addresses (Care Compare)

2017 Riegler Rd
Land O Lakes, FL 34639-5328
Phone (813) 230-1337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA9180FLMDSpeech-Language Pathologist
SZ3746FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spotherapies LLC Speech-Language Pathologist CurrentSince Sep 11, 2023 Accepting new patients
Lampert'S Home Therapy, Inc. CurrentSince Apr 8, 2018 Accepting new patients
Sobe Innovative Rehabilitation PLLC Speech-Language Pathologist CurrentSince Nov 17, 2022 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

2017 Riegler Rd
Land O Lakes, FL 34639
Phone (813) 230-1337

8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304

Organizations & group practices 3

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1396895470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 CARRINGTON PARK DR APT 801",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472634",
            "telephone_number": "813-243-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 CARRINGTON PARK DR APT 801",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472634",
            "telephone_number": "813-243-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC- SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ3746",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "354957",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890741200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BAREKAT",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "MS SLP CF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.