Individual provider Active NPI

Amber Banks

  • Speech-Language Pathologist
  • Ladson, SC
National Provider Identifier
1548680549
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5771 Issued in SC
Practice address
125 Towering Pine Dr
Ladson, SC 29456-3701
Phone
(228) 239-0522
NPI assigned
Apr 17, 2014
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 5771 SC Primary

Addresses

Primary practice location

125 Towering Pine Dr
Ladson, SC 29456-3701

Mailing address

125 Towering Pine Dr
Ladson, SC 29456-3701
Phone (228) 239-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221005000412 SC Practitioner - Qualified Speech Language Pathologist 8820474489 Reassigns benefits to 1 organization
I20240528003260 NC Practitioner - Qualified Speech Language Pathologist 8820474489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5771SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Collective Services Speech-Language Pathologist CurrentSince Nov 6, 2022 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince May 20, 2024 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jun 3, 2024 Accepting new patients
Tri-County Therapy, LLC Speech-Language Pathologist PastSince Sep 1, 2020 Accepting new patients
Pattisons D R E a M Academy Past Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

4000 Faber Place Dr
Ste 300
North Charleston, SC 29405
Phone (704) 956-3062

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 5

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": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1548680549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWERING PINE DR",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563701",
            "telephone_number": "228-239-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWERING PINE DR",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563701",
            "telephone_number": "228-239-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.