Active NPI
Amy Kyzer
- Speech-Language Pathologist
- Leesville, SC
National Provider Identifier
1700225281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3220
- Practice address
- 3129 Neely Wingard Rd
Leesville, SC 29070-8678 - Phone
- (803) 767-9328
- NPI assigned
- Jun 18, 2013
- Last updated
- Jun 18, 2013
- 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 | 3220 | SC | Primary |
Addresses
Primary practice location
3129 Neely Wingard Rd
Leesville, SC 29070-8678
Mailing address
3129 Neely Wingard Rd
Leesville, SC 29070-8678
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 |
|---|---|---|---|
| 3220 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1700225281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3129 NEELY WINGARD RD",
"city": "LEESVILLE",
"state": "SC",
"postal_code": "290708678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 NEELY WINGARD RD",
"city": "LEESVILLE",
"state": "SC",
"postal_code": "290708678",
"telephone_number": "803-767-9328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYZER",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "3220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesville, SC
- Helping Hooves and Caring Hands LLC (HHCH Counseling Services)
- Victoria Wright Hyatt, CPNP-PC
- Elizabeth Ashley Jones, RDN, LD
- Robyn Kelly, BCBA
- Jennifer S. Kendrick, SLT
- Loftis and Associates P.a
- Gregory Mayer, RPH
- David Edward Michael, MA, LPC, LPCS
- Janice Bowers Miller, RD
- Alexander Leonard Montgomery Jr., MA, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.