Amanda Elizabeth Nielsen, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10831 Issued in NC

Practice address

803 Mountain Scenery Rd
Roaring River, NC 28669-8096

Phone

(440) 897-2096

Fax

(336) 450-1929

NPI assigned

May 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Sweet Sounds Speech and Language Services PLLC

  • Speech-Language Pathologist
  • Roaring River, NC
  • NPI 1538975115
  NPD Authorized official
• Pediatric Speech & Language Services Inc

  • Speech-Language Pathologist
  • Greensboro, NC
  • NPI 1558409706
  NPD (past)

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1487064010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "ROARING RIVER",
            "state": "NC",
            "postal_code": "286690065",
            "telephone_number": "440-897-2096",
            "fax_number": "336-450-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MOUNTAIN SCENERY RD",
            "city": "ROARING RIVER",
            "state": "NC",
            "postal_code": "286698096",
            "telephone_number": "440-897-2096",
            "fax_number": "336-450-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carenet, Inc
• Michelle Leigh Mathis, PTA
• Sweet Sounds Speech and Language Services PLLC

• Speech-Language Pathologist in Roaring River, NC
• Providers in Roaring River, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; 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.