Amanda Jane Nedved

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146008849 Issued in IL

Practice address

501 7TH St
Rockford, IL 61104-1242

Phone

(815) 979-8488

NPI assigned

May 4, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rockford Public Schools Dis205

  • Local Education Agency (LEA)
  • Rockford, IL
  • NPI 1700054780
  NPD (past)

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1770104515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 LUNDVALL AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073337",
            "telephone_number": "815-979-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 7TH ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041242",
            "telephone_number": "815-979-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDVED",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Youth Advocate Program
• National Youth Advocate Program, Inc
• Terra Ann Naumowich, PHARMD
• Karla M Navarro-Vega, PA-C
• Neck to Back Rockford LLC
• Nicole Negus, NP
• Samantha Jo Neilsen, DC
• Abigail L Nelson VII
• Andrea Nelson, LPC, RN
• Gabrielle Nelson

• Speech-Language Pathologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.