Amy E Thacker, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1315 Issued in NH

Practice address

91 Maple Ave
Keene, NH 03431-1629

Phone

(603) 358-3384

Fax

(603) 358-6485

NPI assigned

May 16, 2009

Sex

Female

Sole proprietor

No

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

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.

• Cedarcrest Center for Children With Disabilities

  • Nursing Facility/Intermediate Care Facility
  • Keene, NH
  • NPI 1033448675
  NPD (past)
• Cedarcrest, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Keene, NH
  • NPI 1699897215
  NPD (past)

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

{
    "created_epoch": "1242432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1780819086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "ANDOVER",
            "state": "NH",
            "postal_code": "032160032",
            "telephone_number": "800-937-4245",
            "fax_number": "877-521-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MAPLE AVE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311629",
            "telephone_number": "603-358-3384",
            "fax_number": "603-358-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-16",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Tayyab, MD
• Wayne Temmen, PA-C
• Kimball B Temple, M.D.
• David S. Tenney, M.A.C.P.
• Christopher William Tetley, ATC
• The Training Room, Inc.
• Lionel Harvey Thibault Jr., LNA
• Umabalan Thirupathy, MD
• Julie Marilyn Thompson Fisher, M.A., CCC-A
• Evan Scott Thompson, PA-C, ATC, AEMT

• Speech-Language Pathologist in Keene, NH
• Providers in Keene, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.