Active NPI
Amy Nicole Dunlap
- Speech-Language Pathologist
- Palm Coast, FL
National Provider Identifier
1629327077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 10889
- Practice address
- 393 Palm Coast Pkwy SW
Suite 3
Palm Coast, FL 32137-4773 - Phone
- (386) 446-9935
- NPI assigned
- Aug 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | SA 10889 | FL | Primary |
Addresses
Primary practice location
393 Palm Coast Pkwy SW
Suite 3
Palm Coast, FL 32137-4773
Mailing address
465 Chelsea Place Ave
Ormond Beach, FL 32174-0688
Phone (410) 294-2499
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 |
|---|---|---|---|
| SA 10889 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1629327077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 CHELSEA PLACE AVE",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321740688",
"telephone_number": "410-294-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 PALM COAST PKWY SW",
"address_2": "SUITE 3",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374773",
"telephone_number": "386-446-9935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "AMY",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2021-04-29",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 10889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.