Individual provider Active NPI

Amanda Kelli Wazbinski

  • Speech-Language Assistant
  • Winter Park, FL
National Provider Identifier
1427649078
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
4687 Issued in FL
Practice address
861 W Morse Blvd
Suite 1
Winter Park, FL 32789-3746
Phone
(407) 637-2277
NPI assigned
Jan 27, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 4687 FL Primary

Addresses

Primary practice location

861 W Morse Blvd
Suite 1
Winter Park, FL 32789-3746

Mailing address

4235 Mendenwood LN
Orlando, FL 32826-4233
Phone (954) 464-5417

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
4687FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
More Than Speech FL LLC CurrentSince Apr 20, 2021 Accepting new patients
More Than Speech FL LLC CurrentSince Jan 31, 2021 Accepting new patients

Locations

861 W Morse Blvd
Ste 1
Winter Park, FL 32789
Phone (407) 637-2277

Organizations & group practices 2

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1427649078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 MENDENWOOD LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264233",
            "telephone_number": "954-464-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 W MORSE BLVD",
            "address_2": "SUITE 1",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893746",
            "telephone_number": "407-637-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAZBINSKI",
        "first_name": "AMANDA",
        "middle_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "4687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.