Individual provider Active NPI

Amanda Grace Narvaez, M.A. CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Bay Shore, NY
National Provider Identifier
1699322131
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
030296 Issued in NY
Practice address
25 Huron Dr
Bay Shore, NY 11706-5433
Phone
(631) 965-5514
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 030296 NY Primary

Addresses

Primary practice location

25 Huron Dr
Bay Shore, NY 11706-5433

Mailing address

7 Mars Rd
Bay Shore, NY 11706-5031
Phone (631) 965-5514

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
030296NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1699322131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MARS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065031",
            "telephone_number": "631-965-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HURON DR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065433",
            "telephone_number": "631-965-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARVAEZ",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "credential": "M.A. CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.