Individual provider Active NPI

Amy Louise Thompson, CCCSLP

  • Speech-Language Pathologist
  • Germantown, TN
National Provider Identifier
1750582292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP0000001118 Issued in TN
Practice address
8591 Sycamore Trail Dr
Germantown, TN 38139
Phone
(901) 752-0107
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SP0000001118 TN Primary

Addresses

Primary practice location

8591 Sycamore Trail Dr
Germantown, TN 38139

Mailing address

8591 Sycamore Trail Dr
Germantown, TN 38139
Phone (901) 752-0107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190507001463 TN Practitioner - Qualified Speech Language Pathologist 6709128069 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP0000001118TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Oct 2, 2023 Accepting new patients
Fox Rehabilitation Services TN LLC Speech-Language Pathologist CurrentSince Nov 1, 2022 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Oct 2, 2023 Accepting new patients
Ave Maria Home CurrentSince Aug 21, 2023 Accepting new patients

Locations

2805 Charles Bryan Rd
Bartlett, TN 38134
Phone (901) 386-3211

3056 Miles Johnson Pkwy
Spring Hill, TN 37174
Phone (931) 451-0009

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750582292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8591 SYCAMORE TRAIL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38139",
            "telephone_number": "901-752-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8591 SYCAMORE TRAIL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38139",
            "telephone_number": "901-752-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000001118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.