Amanda Nicholson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015151 Issued in PA

Practice address

1001 Loucks Ave
Scottdale, PA 15683-1531

Phone

(724) 678-1825

NPI assigned

May 26, 2021

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

Other names 1

• Amanda Collins Former name

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1669047072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LOUCKS AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LOUCKS AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831531",
            "telephone_number": "724-678-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "COLLINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Lee McIntire, R,PH.
• Cindy B McMahon, NP-C
• Paul E Means Jr., D.O.
• Melissa Myers
• Timothy H Needle, O.D.
• Michael Jon Pagliacci, D.C.
• Randall Lee Palmiscno, DMD
• Park Pain & Rehab Center Inc
• John I Park, M.D.
• Tiffany Pluto, D.O.

• Speech-Language Pathologist in Scottdale, PA
• Providers in Scottdale, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.