Active NPI
Amanda Grace Lopez
- Speech-Language Pathologist
- Jupiter, FL
National Provider Identifier
1679251805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15840
- Practice address
- 18370 Limestone Creek Rd
Jupiter, FL 33458-3860 - Phone
- (561) 598-6200
- NPI assigned
- Jul 7, 2023
- 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 | SA15840 | FL | Primary |
Addresses
Primary practice location
18370 Limestone Creek Rd
Jupiter, FL 33458-3860
Mailing address
18370 Limestone Creek Rd
Jupiter, FL 33458-3860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18370 Limestone Creek Rd
Jupiter, FL 33458-3860
Phone (561) 320-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Els for Autism Foundation | Speech-Language Pathologist | Current | Accepting new patients |
Locations
18370 Limestone Creek Rd
Jupiter, FL 33458
Phone (561) 320-9500
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1679251805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18370 LIMESTONE CREEK RD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18370 LIMESTONE CREEK RD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583860",
"telephone_number": "561-598-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "AMANDA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-07",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.