Active NPI
Amanda Ann Zeller, MS
- Speech-Language Pathologist
- Pasadena, MD
National Provider Identifier
1780154310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 05718
- Practice address
- 8515 Jenkins Road
Pasadena, MD 21122 - Phone
- (410) 222-6469
- Fax
- (410) 360-4557
- NPI assigned
- Nov 27, 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 | 05718 | MD | Primary |
Addresses
Primary practice location
8515 Jenkins Road
Pasadena, MD 21122
Mailing address
8367 Cypress Mill Road
Nottingham, MD 21236
Phone (410) 931-6502
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 |
|---|---|---|---|
| 05718 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1780154310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8367 CYPRESS MILL ROAD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "21236",
"telephone_number": "410-931-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8515 JENKINS ROAD",
"city": "PASADENA",
"state": "MD",
"postal_code": "21122",
"telephone_number": "410-222-6469",
"fax_number": "410-360-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELLER",
"first_name": "AMANDA",
"middle_name": "ANN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "05718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.