Individual provider Active NPI

Amanda Montemayor, MA, CCC-SLP, CBIS

  • Speech-Language Pathologist
  • Nashville, TN
National Provider Identifier
1699257337
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7372 Issued in TN
Practice address
1118 Litton Ave
Nashville, TN 37216-3731
Phone
(615) 200-7379
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 112445 TX
Speech-Language Pathologist 235Z00000X 7372 TN Primary

Addresses

Primary practice location

1118 Litton Ave
Nashville, TN 37216-3731

Mailing address

1118 Litton Ave Apt 317
Nashville, TN 37216-3735

Other practice location 1

1400 Hilltop Rd
Kerrville, TX 78028-2851
Phone (830) 895-1300

Other practice location 2

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda@ascend-speech.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230223002732 OH Practitioner - Qualified Speech Language Pathologist 8628450558 Practice locations: Cincinnati, OH
I20250122000713 AR Practitioner - Qualified Speech Language Pathologist 8628450558 Reassigns benefits to 1 organization

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
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

2501 N 22ND St
Rogers, AR 72756-2286
Phone (479) 278-7399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
112445TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jan 13, 2025 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jan 13, 2025 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 2

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1699257337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 LITTON AVE APT 317",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 LITTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163731",
            "telephone_number": "615-200-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Hilltop Rd",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780282851",
            "country_code": "US",
            "telephone_number": "830-895-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3441 Dickerson Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372072539",
            "country_code": "US",
            "telephone_number": "615-769-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEMAYOR",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-10-03",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112445",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda@ascend-speech.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1118 Litton Ave",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372163731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.

Verify at the official NPI Registry.