Active NPI
Amanda J Abel, S.L.P
- Speech-Language Pathologist
- Redmond, OR
National Provider Identifier
1609057249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12733
- Practice address
- 1315 NW 4TH St
Suite B
Redmond, OR 97756-1328 - Phone
- (541) 923-7494
- Fax
- (541) 504-9153
- NPI assigned
- Nov 26, 2007
- 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 | 12733 | OR | Primary |
Addresses
Primary practice location
1315 NW 4TH St
Suite B
Redmond, OR 97756-1328
Mailing address
PO Box 24988
Seattle, WA 98124-0988
Phone (503) 443-6156
Other names 1
- Amanda J Lepage
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12733 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1609057249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24988",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981240988",
"telephone_number": "503-443-6156",
"fax_number": "503-639-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 NW 4TH ST",
"address_2": "SUITE B",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561328",
"telephone_number": "541-923-7494",
"fax_number": "541-504-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEL",
"first_name": "AMANDA",
"middle_name": "J",
"credential": "S.L.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "12733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "LEPAGE",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.