Active NPI
Amanda Nicole Harris, M.A. CCC-SLP
- Speech-Language Pathologist
- The Village, OK
National Provider Identifier
1558806638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3716
- Practice address
- 2333 Tuscany Blvd
The Village, OK 73120-3702 - Phone
- (405) 286-0835
- NPI assigned
- Dec 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3716 | OK | Primary |
Addresses
Primary practice location
2333 Tuscany Blvd
The Village, OK 73120-3702
Mailing address
8220 Rambling Rd
Oklahoma City, OK 73132-3001
Phone (918) 424-3810
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3716 | OK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1558806638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 RAMBLING RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323001",
"telephone_number": "918-424-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 TUSCANY BLVD",
"city": "THE VILLAGE",
"state": "OK",
"postal_code": "731203702",
"telephone_number": "405-286-0835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Village, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.