Individual provider Active NPI

Amanda Kaye Simpson, MA SLP

  • Speech-Language Pathologist
  • Streator, IL
National Provider Identifier
1598993081
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.006517 Issued in IL
Practice address
701 Wisconsin Ave
Streator, IL 61364-2436
Phone
(815) 672-1686
Fax
(815) 672-1686
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 146.006517 IL Primary

Addresses

Primary practice location

701 Wisconsin Ave
Streator, IL 61364-2436

Mailing address

701 4TH Ave
Mendota, IL 61342
Phone (815) 674-9294

Other names 1

  • Ms. Amanda Kaye Schultz 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 Arts

State licenses

LicenseStateTypeSpecialty
146.006517ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1598993081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 4TH AVE",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "61342",
            "telephone_number": "815-674-9294",
            "fax_number": "815-672-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WISCONSIN AVE",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642436",
            "telephone_number": "815-672-1686",
            "fax_number": "815-672-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "AMANDA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "MA SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.006517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SCHULTZ",
            "middle_name": "KAYE",
            "prefix": "MS.",
            "credential": "MA SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Streator, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.