Active NPI
Amanda Phillips, MS CCC/SLP
- Speech-Language Pathologist
- Richardson, TX
National Provider Identifier
1457731622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 101028
- Practice address
- 2011 N. Collins Blvd Ste. 711
Richardson, TX 75080 - Phone
- (214) 785-2377
- Fax
- (732) 737-0641
- NPI assigned
- Jun 3, 2015
- 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 | 101028 | TX | Primary |
Addresses
Primary practice location
2011 N. Collins Blvd Ste. 711
Richardson, TX 75080
Mailing address
2011 N Collins Blvd Ste 711
Richardson, TX 75080-2689
Phone (214) 785-2377
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 |
|---|---|---|---|
| 101028 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concept Connections LTD | Speech-Language Pathologist | 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": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1457731622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 N COLLINS BLVD STE 711",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802689",
"telephone_number": "214-785-2377",
"fax_number": "732-737-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 N. COLLINS BLVD STE. 711",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "214-785-2377",
"fax_number": "732-737-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "AMANDA",
"credential": "MS CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "101028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.