Individual provider Active NPI

Amy Deanne Harris

  • Speech-Language Pathologist
  • Chelsea, AL
National Provider Identifier
1427544964
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3838 Issued in AL
Practice address
48 Chesser Crane Rd Ste I
Chelsea, AL 35043-8339
Phone
(205) 618-8095
Fax
(205) 936-4157
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 3838 AL Primary

Addresses

Primary practice location

48 Chesser Crane Rd Ste I
Chelsea, AL 35043-8339

Mailing address

48 Chesser Crane Rd Ste I
Chelsea, AL 35043-8339
Phone (205) 618-8095

Other practice location 1

3057 Lorna Rd Ste 220
Vestavia Hills, AL 35216-4518
Phone (205) 978-9939

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
3838ALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child'S Play Therapy LLC Past Accepting new patients

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1427544964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CHESSER CRANE RD STE I",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438339",
            "telephone_number": "205-618-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CHESSER CRANE RD STE I",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438339",
            "telephone_number": "205-618-8095",
            "fax_number": "205-936-4157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3057 Lorna Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352164518",
            "country_code": "US",
            "telephone_number": "205-978-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AMY",
        "middle_name": "DEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.