Individual provider Active NPI

Amber Michelle McCrea, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Roseville, CA
National Provider Identifier
1467730283
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19772 Issued in CA
Practice address
151 N Sunrise Ave Ste 1105
Roseville, CA 95661-2931
Phone
(916) 771-8255
NPI assigned
Jul 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19772 CA Primary

Addresses

Primary practice location

151 N Sunrise Ave Ste 1105
Roseville, CA 95661-2931

Mailing address

119 Boston Commons PL
Roseville, CA 95661-7347
Phone (916) 740-0132

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 Arts

State licenses

LicenseStateTypeSpecialty
19772CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Am Speech Therapy, Inc Speech-Language Pathologist CurrentSince Oct 1, 2022 Accepting new patients
Baby Steps Therapy Speech-Language Pathologist Past Accepting new patients
Baby Steps Therapy 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.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1467730283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BOSTON COMMONS PL",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617347",
            "telephone_number": "916-740-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 1105",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612931",
            "telephone_number": "916-771-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREA",
        "first_name": "AMBER",
        "middle_name": "MICHELLE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.