Alexandria Amodeo, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6817 Southpoint Pkwy Ste 1602
Jacksonville, FL 32216-6298

Phone

(904) 945-7556

Fax

(904) 379-0113

NPI assigned

Nov 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Speech Tactics, PC

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1861736308
  NPD (past)

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1639716467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 BIG BEND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200147",
            "telephone_number": "704-280-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1602",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-945-7556",
            "fax_number": "904-379-0113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8848 Red Oak Blvd Ste AA",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282175595",
            "country_code": "US",
            "telephone_number": "980-422-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMODEO",
        "first_name": "ALEXANDRIA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yazan Ammari, PHARM.D
• Ammd Ventures Inc
• Kelli Ammon, BCBA
• Ayanna Ammons
• Christelle Ammons, PA-C
• Elizabeth Amoff, DDS
• Amole Care LLC
• Bouali Frederick Amoli, D.M.D. M.D.
• Marielle Ameli Amoli, MD
• Melissa Folasade Amoran

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.