Amy Lynn Elder, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4012 Park Rd Ste 200
Charlotte, NC 28209-2378

Phone

(704) 332-4834

Fax

(704) 372-9653

NPI assigned

Aug 17, 2007

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Full Bloom Speech Language Pathology

  • Speech-Language Pathologist
  • Cornelius, NC
  • NPI 1225877293
  NPD Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1780876235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 PARK RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092378",
            "telephone_number": "704-332-4834",
            "fax_number": "704-372-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 PARK RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092378",
            "telephone_number": "704-332-4834",
            "fax_number": "704-372-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elation Supported Living LLC
• Rheam Elbaba
• Islam Fathy Abdelaziz Muha Elbanna, MD
• Mayssoun Elchoufi, MD
• Elder Care of the Carolinas LLC
• Eldercare Buddy
• Eldercare Solutions (Comfort Keepers 185)
• Jennifer Dawn Eleey, FNP-BC
• Element Behavioral Health LLC (Element Behavioral Health)
• Elev8 Care Solutions Inc

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.