Active NPI
Amie Nicole Windham, M.S., CCC-SLP
- Speech-Language Pathologist
- Meridian, MS
National Provider Identifier
1750158945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S4290
- Practice address
- 6600 Poplar Springs Dr
Meridian, MS 39305-1105 - Phone
- (601) 482-5561
- NPI assigned
- Dec 7, 2023
- 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 | S4290 | MS | Primary |
Addresses
Primary practice location
6600 Poplar Springs Dr
Meridian, MS 39305-1105
Mailing address
8461B King Rd
Meridian, MS 39305-3505
Phone (601) 917-9748
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4290 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1750158945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8461B KING RD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393053505",
"telephone_number": "601-917-9748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 POPLAR SPRINGS DR",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393051105",
"telephone_number": "601-482-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDHAM",
"first_name": "AMIE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S4290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.