Individual provider Active NPI

Andrea Sabina Amszynski

  • Speech-Language Pathologist
  • Snellville, GA
National Provider Identifier
1710596952
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010699 Issued in GA
Practice address
1780 Oak Rd Ste C
Snellville, GA 30078-2206
Phone
(678) 956-0963
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 SLP010699 GA Primary

Addresses

Primary practice location

1780 Oak Rd Ste C
Snellville, GA 30078-2206

Mailing address

1780 Oak Rd Ste C
Snellville, GA 30078-2206
Phone (678) 956-0963

Other practice location 1

4720 Peachtree Industrial Blvd Ste 305
Berkeley Lake, GA 30071-5740
Phone (770) 558-6055

Other practice location 2

3556 Old Milton Pkwy
Alpharetta, GA 30005-4464
Phone (470) 514-5856

Other identifiers 1

IdentifierTypeStateIssuer
SLP010699OtherGAGEORGIA STATE LICENSE SPEECH PATHOLOGY

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

LicenseStateTypeSpecialty
SLP010699GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1710596952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 OAK RD STE C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782206",
            "telephone_number": "678-956-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 OAK RD STE C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782206",
            "telephone_number": "678-956-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4720 Peachtree Industrial Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Berkeley Lake",
            "state": "GA",
            "postal_code": "300715740",
            "country_code": "US",
            "telephone_number": "770-558-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3556 Old Milton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054464",
            "country_code": "US",
            "telephone_number": "470-514-5856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMSZYNSKI",
        "first_name": "ANDREA",
        "middle_name": "SABINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE SPEECH PATHOLOGY",
            "identifier": "SLP010699",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.