Amy L Eibell, M.S, CCC-CLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18934 Issued in CA

Practice address

5517 Portola Cir
Rocklin, CA 95677-2642

Phone

(978) 996-2295

NPI assigned

Aug 6, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1649880311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 PORTOLA CIR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772642",
            "telephone_number": "978-996-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 PORTOLA CIR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772642",
            "telephone_number": "978-996-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIBELL",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "M.S, CCC-CLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rocklin",
            "affiliation": "N",
            "address_1": "5517 Portola Cir",
            "city": "Rocklin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956772642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eckard-Ghassemi Dental Group
• Austin Daniel Eckard, D.M.D.
• Edge Medical Services
• Austin J Edwards
• Steven Darnell Edwards
• Jeannine El-Maasri
• Jeffrey Elenberger, DDS
• Elevate Sleep & Wellness
• Elite Healthcare Resources
• Elite Performance Sports and Physical Therapy, Inc. (Elite Physical Therapy)

• Speech-Language Pathologist in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.