Active NPI
Amy Catherine Reid, MA CCC, SLP
- Speech-Language Pathologist
- Plantation, FL
National Provider Identifier
1407916752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA7235
- Practice address
- 447 NW 73Rd Ave
Plantation, FL 33317-1608 - Phone
- (954) 583-7383
- NPI assigned
- Dec 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | SA7235 | FL | Primary |
Addresses
Primary practice location
447 NW 73Rd Ave
Plantation, FL 33317-1608
Mailing address
1001 NW 104TH Ave
Plantation, FL 33322-6588
Phone (954) 382-9642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA7235 | Other | FL | LICENSE NUMBER |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA7235 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407916752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 NW 104TH AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333226588",
"telephone_number": "954-382-9642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 NW 73RD AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171608",
"telephone_number": "954-583-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "AMY",
"middle_name": "CATHERINE",
"credential": "MA CCC, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA7235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "SA7235",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.