Active NPI
Amy Jones Bedwell, MS, CCC-SLP
- Speech-Language Pathologist
- Martinsville, VA
National Provider Identifier
1750878419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202004161
- Practice address
- 746 Indian TRL
Martinsville, VA 24112-4520 - Phone
- (276) 403-5820
- NPI assigned
- Apr 18, 2018
- 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 | 2202004161 | VA | Primary |
Addresses
Primary practice location
746 Indian TRL
Martinsville, VA 24112-4520
Mailing address
1914 Dundee LN
Martinsville, VA 24112-5612
Phone (804) 651-1894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202004161 | Medicaid | VA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202004161 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Public Schools | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1750878419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 DUNDEE LN",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241125612",
"telephone_number": "804-651-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 INDIAN TRL",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241124520",
"telephone_number": "276-403-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDWELL",
"first_name": "AMY",
"middle_name": "JONES",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202004161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2202004161",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.