Amy Brown McMahan, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2308 Issued in AR

Practice address

1389 Lafite LN
Fayetteville, AR 72703-9808

Phone

(870) 941-5152

NPI assigned

Mar 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649303595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 ZUBER RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720151689",
            "telephone_number": "870-941-5152",
            "fax_number": "501-794-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 LAFITE LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727039808",
            "telephone_number": "870-941-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "AMY",
        "middle_name": "BROWN",
        "name_prefix": "Ms.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "2308",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Leigh McKinney, MD
• Mika Laray McKinney, CSFA
• Teresa Beth McKinney, P.A.-C
• Amanda Estelle McLarty
• Benjamin McLinn
• Andrea Elizabeth McMahon, MD
• Pamela A McMichael, MD
• Jaclyn McMillan, BA
• Raven McMillion
• Kaitlin Renae McMurrian, MED, BCBA

• Speech-Language Pathologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.