Amanda M Winant

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026858-1 Issued in NY

Practice address

200 Adelaide Ave
Staten Island, NY 10306-3999

Phone

(718) 987-0396

NPI assigned

Sep 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467971887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ADELAIDE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063999",
            "telephone_number": "718-987-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ADELAIDE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063999",
            "telephone_number": "718-987-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Corporate Center Dr",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077268736",
            "country_code": "US",
            "telephone_number": "732-761-0302",
            "fax_number": "732-761-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINANT",
        "first_name": "AMANDA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00907900",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026858-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Wilson
• Marjorie Wilson, N.P
• Michelle M Wilson, PT
• Thomas L Wilson, RN
• Jennifer Aileen Wilton, RPAC
• Alexa Layne Winchel, OTR/L
• Lissa Dale Winchel, LCSW
• Neil Winchel
• Wine Anesthesia, LLC
• Lawrence Wine, MD

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.