Active NPI
Amy Augustyn
- Speech-Language Pathologist
- Tallahassee, FL
National Provider Identifier
1679748115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 8554
- Practice address
- 2305 Killearn Center Blvd
Apt. C60
Tallahassee, FL 32309-3518 - Phone
- (850) 443-8602
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- No
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 | SA 8554 | FL | Primary |
Addresses
Primary practice location
2305 Killearn Center Blvd
Apt. C60
Tallahassee, FL 32309-3518
Mailing address
2305 Killearn Center Blvd
Apt. C60
Tallahassee, FL 32309-3518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8904901 00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 8554 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1679748115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 KILLEARN CENTER BLVD",
"address_2": "APT. C60",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323093518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 KILLEARN CENTER BLVD",
"address_2": "APT. C60",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323093518",
"telephone_number": "850-443-8602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTYN",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 8554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8904901 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.