Amanda B Jeffreys

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3693 Issued in AL

Practice address

1429 Weatherly Rd SE Ste a
Huntsville, AL 35803-1187

Phone

(256) 535-7765

Fax

(256) 715-5045

NPI assigned

Mar 26, 2018

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

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bailey Cove Speech Therapy

  • Speech-Language Pathologist
  • Huntsville, AL
  • NPI 1093364689
  NPD Authorized official

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1760987457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12212",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358152212",
            "telephone_number": "256-535-7765",
            "fax_number": "256-715-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 WEATHERLY RD SE STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358031187",
            "telephone_number": "256-535-7765",
            "fax_number": "256-715-5045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Williams Ave SW Ste 1111",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358016087",
            "country_code": "US",
            "telephone_number": "256-536-7405",
            "fax_number": "256-536-7416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFREYS",
        "first_name": "AMANDA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylyn C Jeffcoat, DPT
• Regan Nicole Jeffers, PA-C
• Reese Lyshell Jefferson, LPC
• Jeffery Garrard, M.D., P.C.
• Jeffrey W McKee (The Foot Clinic)
• Kaley McKenna Jeffreys
• Elizabeth Jean Jeffries, CRNP
• Brooklyn Elizabeth Jenkins
• Patsy Jenkins, LPN
• Jennifer a Marion

• Speech-Language Pathologist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.