NPIMap

Organization Active NPI

Amy C. Havenor

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1467604975
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AMY C. HAVENOR
Practice address
12880 Hillcrest Rd Ste 102
Dallas, TX 75230-1501
Phone
(972) 387-1100
Fax
(972) 692-7332
NPI assigned
Oct 15, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Amy C. Havenor, CCC/SLPNPI 1295852630
Title
Owner
Phone
(972) 387-1100

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

12880 Hillcrest Rd Ste 102
Dallas, TX 75230-1501

Mailing address

12880 Hillcrest Rd Ste 102
Dallas, TX 75230-1501
Phone (972) 387-1100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1467604975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 HILLCREST RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301501",
            "telephone_number": "972-387-1100",
            "fax_number": "972-692-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 HILLCREST RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301501",
            "telephone_number": "972-387-1100",
            "fax_number": "972-692-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY C. HAVENOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "HAVENOR",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-387-1100",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.