Amanda L Goff

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11824 Issued in FL

Practice address

1212 Halapa Way
Trinity, FL 34655-7229

Phone

(727) 515-0455

NPI assigned

Sep 11, 2020

Last updated

Oct 5, 2020By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1720693260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HALAPA WAY",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346557229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HALAPA WAY",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346557229",
            "telephone_number": "727-515-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "AMANDA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Douglas Goetz, PA-C
• Golden Beil & Horwitz Dentistry Partnership (DBA Prestige Dentistry)
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• Guillermo Samuel Gomez Roman, MD
• Joshua Zeus Gonzalez, APRN
• Paul J Gonzalez, MD

• Speech-Language Pathologist in Trinity, FL
• Providers in Trinity, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.