Amanda K Naumovich, M.S., SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.001013 Issued in IL

Practice address

1617 Windycrest Dr
Springfield, IL 62704-6515

Phone

(217) 415-3006

NPI assigned

Sep 10, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1720237043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 WINDYCREST DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046515",
            "telephone_number": "217-415-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 WINDYCREST DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046515",
            "telephone_number": "217-415-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMOVICH",
        "first_name": "AMANDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.001013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koteswara R. Narla, M.D.
• Ahmyah S Naseer
• Julie R. Nathanson
• Tyler A Natof, MD
• Nancy Ann Naughton, LCPC
• Abdur Rahmon Nawoor, M.D.
• Archana Nayani, M.D.
• Rahul Nayani, MD
• Olivier Nday Bajima
• Charles Neal, MD

• Speech-Language Pathologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.