NPIMap

Organization Active NPI

Amy Shandy, Speech-Language Pathologist, LLC

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1447474374
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09122115 Issued in CO
Legal business name
AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
Practice address
8540 Scarborough Drive
Suite 290
Colorado Springs, CO 80920
Phone
(719) 597-0822
NPI assigned
Apr 12, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Amy Lynne Shandy, MA, CCC-SLPNPI 1417171141
Title
Owner
Phone
(719) 597-0822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Amy Shandy Speech Language Pathology (33 organizations share this tax ID)

Locations

8540 Scarborough Dr
Ste 290
Colorado Springs, CO 80920

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 09122115 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

8540 Scarborough Drive
Suite 290
Colorado Springs, CO 80920

Mailing address

8540 Scarborough Drive
Suite 290
Colorado Springs, CO 80920
Phone (719) 597-0822

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
12000256MedicaidCO

Other names 1

NPPES NPI Registry
  • The Shandy Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447474374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DRIVE",
            "address_2": "SUITE 290",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-597-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DRIVE",
            "address_2": "SUITE 290",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-597-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANDY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-597-0822",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "09122115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12000256",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shandy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.