Active NPI
Amanda Jayne Banks, M.S.CCC-SLP
- Speech-Language Pathologist
- West Chester, PA
National Provider Identifier
1740326552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.008555
- Practice address
- 200 Skiles Blvd
West Chester, PA 19382-7321 - Phone
- (180) 057-8790
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 146.008555 | IL | Primary |
Addresses
Primary practice location
200 Skiles Blvd
West Chester, PA 19382-7321
Mailing address
801 N 7TH St
Dekalb, IL 60115-2501
Phone (815) 291-1280
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 |
|---|---|---|---|
| 146.008555 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1740326552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N 7TH ST",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152501",
"telephone_number": "815-291-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SKILES BLVD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193827321",
"telephone_number": "180-057-8790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "AMANDA",
"middle_name": "JAYNE",
"credential": "M.S.CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.008555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.