Active NPI
Amanda Rodriguez, M.S., CCC-SLP
- Speech-Language Pathologist
- The Woodlands, TX
National Provider Identifier
1447747902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 106189
- Practice address
- 4055 Technology Forest Blvd Ste 100
The Woodlands, TX 77381-2008 - Phone
- (832) 463-2480
- Fax
- (832) 416-7577
- NPI assigned
- Apr 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 106189 | TX | Primary |
Addresses
Primary practice location
4055 Technology Forest Blvd Ste 100
The Woodlands, TX 77381-2008
Mailing address
6160 Cornerstone CT E Ste 100
San Diego, CA 92121-3724
Phone (858) 216-8837
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106189 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathfinder Pediatrics Home Care, LLC | Past | Accepting new patients | |
| Cortica ABA Therapies PA | Past | Accepting new patients | |
| Cortica Developmental Therapies PA | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Plano, TX
- NPI 1942888508
-
- Multi-Specialty Clinic/Center
- Plano, TX
- NPI 1619554680
-
- Home Health Agency
- Katy, TX
- NPI 1134371651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1447747902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 CORNERSTONE CT E STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213724",
"telephone_number": "858-216-8837",
"fax_number": "619-941-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 TECHNOLOGY FOREST BLVD STE 100",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773812008",
"telephone_number": "832-463-2480",
"fax_number": "832-416-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "AMANDA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.