Amanda Jo Boyles

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

9669 Issued in AZ

Practice address

1045 S Lenzner Ave
Sierra Vista, AZ 85635-4880

Phone

(520) 515-2930

NPI assigned

Sep 27, 2018

Last updated

Sep 27, 2018By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sierra Vista Public Schools

  • Genetic Counselor (M.S.)
  • Sierra Vista, AZ
  • NPI 1558407429
  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1487139275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 E SAPLING LN",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856508984",
            "telephone_number": "520-227-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354880",
            "telephone_number": "520-515-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "9669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Mae Boudrot, CCC-SLP
• Janet Boursier, RN, CHT
• Bianca Shanell Bowles, FNP-C
• Kendra Bowles, CNM
• Jennifer Marie Bowman, MSW
• Michael Leroy Brace, DDS
• Stephanie Jeanelle Bradshaw, REGISTERED DIETICIAN
• Dorlyne Michelle Brchan, M.D.
• Breaking Stasis LLC (Breaking Stasis Therapy, Crisis Management, And Consulting)
• Susan Breen, ED.S

• Speech-Language Assistant in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.