Individual provider Active NPI

Sue A Amell, LMT

  • Contractor
  • Saranac Lake, NY
National Provider Identifier
1487922597
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
014155-1 Issued in NY
Practice address
75 Lakeview Ter
Saranac Lake, NY 12983-2419
Phone
(518) 524-8787
Fax
(518) 354-8047
NPI assigned
Dec 2, 2011
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 014155-1 NY Primary

Addresses

Primary practice location

75 Lakeview Ter
Saranac Lake, NY 12983-2419

Mailing address

75 Lakeview Ter
Saranac Lake, NY 12983-2419
Phone (518) 524-8787

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

State licenses

LicenseStateTypeSpecialty
014155-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1487922597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LAKEVIEW TER",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832419",
            "telephone_number": "518-524-8787",
            "fax_number": "518-354-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LAKEVIEW TER",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832419",
            "telephone_number": "518-524-8787",
            "fax_number": "518-354-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMELL",
        "first_name": "SUE",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "014155-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.