Individual provider Active NPI

Amanda L Highby, M.A., S.L.P., C.C.C.

  • Speech-Language Pathologist
  • Bentonville, AR
National Provider Identifier
1548471238
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2663 Issued in AR
Practice address
5002 SW Screech Owl St
Bentonville, AR 72713-7271
Phone
(419) 512-6352
NPI assigned
May 24, 2007
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2663 AR Primary

Addresses

Primary practice location

5002 SW Screech Owl St
Bentonville, AR 72713-7271

Mailing address

5002 SW Screech Owl St
Bentonville, AR 72713-7404
Phone (419) 512-6352

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2663ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Richland Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1548471238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 SW SCREECH OWL ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727137404",
            "telephone_number": "419-512-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 SW SCREECH OWL ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727137271",
            "telephone_number": "419-512-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHBY",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.A., S.L.P., C.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.