NPIMap

Individual provider Active NPI

Amanda Nicole Barnhard, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Middletown, MD
National Provider Identifier
1588075741
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10632 Issued in MD
Practice address
17 W Main St
Middletown, MD 21769-8080
Phone
(410) 598-4336
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-1533 WV
Speech-Language Pathologist 235Z00000X 10632 MD Primary

Addresses

Primary practice location

17 W Main St
Middletown, MD 21769-8080

Mailing address

11385 Canary Dr
Ijamsville, MD 21754-8927
Phone (301) 518-0553

Other practice location 1

5216 Chairmans Ct Ste 104
Frederick, MD 21703-2858
Phone (410) 598-4336

Other names 1

  • Ms. Amanda Nicole Payne Former name

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 Science

State licenses

LicenseStateTypeSpecialty
10632MDMDSpeech-Language Pathologist
SLP-1533WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Back 2 Basics Nutrition LLC Speech-Language Pathologist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1588075741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11385 CANARY DR",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217548927",
            "telephone_number": "301-518-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W MAIN ST",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217698080",
            "telephone_number": "410-598-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5216 Chairmans Ct Ste 104",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217032858",
            "country_code": "US",
            "telephone_number": "410-598-4336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNHARD",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1533",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PAYNE",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.