Amy L Edgemon, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-2984 Issued in NV

Practice address

6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334

Phone

(702) 515-4009

NPI assigned

May 23, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Edge Therapy LLC

  • Speech-Language Pathologist
  • North Las Vegas, NV
  • NPI 1942036140
  NPD Authorized official
• Speakeasy Therapy Services, LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1114315801
  Medicare reassignment
• Speakeasy Therapy Services, LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1871324806
  NPD
• Autism and Brain Institute Inc

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1891455309

  Speech-Language Pathologist

  NPD (past)
• Speakeasy Therapy Services, LLC

  • Speech-Language Pathologist
  • North Las Vegas, NV
  • NPI 1790516722
  NPD (past)

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1528633591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 MICHAEL SPRINGS PL",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843812",
            "telephone_number": "850-420-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 S JONES BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183334",
            "telephone_number": "702-515-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGEMON",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-23",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2984",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Edes
• Edgar Evangelista MD PC
• Haleigh Edgar, MD
• Minija Edgar, PT, DPT
• Mariza Zobeida Edge
• Indeaya Edgerson
• Edgewood Medical LLC
• Rebecca L Edgeworth, MD
• Shariquitka Edgleston
• Edicine Im PLLC

• Speech-Language Pathologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.