Active NPI
Amy Williams, MS, CCC-SLP
- Speech-Language Pathologist
- Tallahassee, FL
National Provider Identifier
1770955015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15202
- Practice address
- 2712 Via Milano Ave # B
Tallahassee, FL 32303-3289 - Phone
- (386) 688-3480
- NPI assigned
- Oct 27, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ7401 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA15202 | FL | Primary |
Addresses
Primary practice location
2712 Via Milano Ave # B
Tallahassee, FL 32303-3289
Mailing address
602 Vonderburg Dr Ste 201
Brandon, FL 33511-5900
Phone (813) 653-1149
Other practice location 1
602 Vonderburg Dr Ste 201
Brandon, FL 33511-5900
Phone (813) 653-1149
Other practice location 2
1215 Kingsley Ave
Orange Park, FL 32073-4631
Phone (904) 269-8922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021814800 | Medicaid | FL |
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 |
|---|---|---|---|
| SA15202 | FL | MD | Speech-Language Pathologist |
| SZ7401 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkative Tallahassee, LLC | Speech-Language Pathologist | Current | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Tallahassee, FL
- NPI 1568178002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1770955015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 VONDERBURG DR STE 201",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115900",
"telephone_number": "813-653-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 VIA MILANO AVE # B",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323033289",
"telephone_number": "386-688-3480"
}
],
"practiceLocations": [
{
"address_1": "602 Vonderburg Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115900",
"country_code": "US",
"telephone_number": "813-653-1149",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Kingsley Ave",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320734631",
"country_code": "US",
"telephone_number": "904-269-8922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "AMY",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ7401",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021814800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.