Amy J Tavernier, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012045 Issued in NY

Practice address

46 W Main St
Friendship, NY 14739-8701

Phone

(585) 973-3311

NPI assigned

Sep 2, 2010

Last updated

Sep 9, 2014By 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 names 1

• Miss Amy J Tavernier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Friendship Central School

  • Local Education Agency (LEA)
  • Friendship, NY
  • NPI 1104041318
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1699082305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10271 SCHUKNECHT RD",
            "city": "FILLMORE",
            "state": "NY",
            "postal_code": "147358733",
            "telephone_number": "585-610-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W MAIN ST",
            "city": "FRIENDSHIP",
            "state": "NY",
            "postal_code": "147398701",
            "telephone_number": "585-973-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERNIER",
        "first_name": "AMY",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TAVERNIER",
            "middle_name": "J",
            "prefix": "MISS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey a Marks (Friendship Pharmacy)
• Brenda L. Johnson, LPN
• Rachel Krisher
• Jeffrey Arno Marks, R.PH.
• Ruth Schmidt, LPN
• Town of Friendship
• Willcare
• Sara Lynn Young-Carlin, MS CCC-SLP

• Speech-Language Pathologist in Friendship, NY
• Providers in Friendship, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.