Active NPI
Amy Marie Phelps
- Speech-Language Assistant
- Phoenix, AZ
National Provider Identifier
1790014322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA7284
- Practice address
- 14435 N 7TH St
Phoenix, AZ 85022-4371 - Phone
- (602) 547-6996
- Fax
- (602) 547-6952
- NPI assigned
- Dec 10, 2009
- Last updated
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | SLPA7284 | AZ | Primary |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
14435 N 7TH St
Phoenix, AZ 85022-4371
Mailing address
14435 N 7TH St
Phoenix, AZ 85022-4371
Phone (602) 547-6996
Other names 1
- Amy Marie Palmisano
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA7284 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1790014322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14435 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224371",
"telephone_number": "602-547-6996",
"fax_number": "602-547-6952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14435 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224371",
"telephone_number": "602-547-6996",
"fax_number": "602-547-6952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "AMY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA7284",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "PALMISANO",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
- Pharmacy Corporation of America (Ascribe)
- Pharmassist Holdings LLC (Local Rx)
- Pharmcare USA of Greater Phoenix LLC (Pharmcare USA of Greater Phoenix)
- Phat Dai Tai LLC (Xpress Care Pharmacy)
- Sinenakhone Phavivong
- Lavoyche Phelps
- Stephen Kyle Phelps, D.O.
- Walter Phelps, PHARMD
- Phi Health, L.L.C. (Air Evac Services)
- Che Phifer, LM, CPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.