Amy Spencer, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 17109 Issued in CA

Practice address

27442 Portola Pkwy
Foothill Ranch, CA 92610-2823

Phone

(949) 282-5900

NPI assigned

Feb 11, 2015

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

State licenses

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1790176774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOPE ST",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781031",
            "telephone_number": "610-256-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27442 PORTOLA PKWY",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102823",
            "telephone_number": "949-282-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 17109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shine Inside Nutrition LLC
• Skzand Dental
• Monica Smith, MPT, ATC
• Sol Life Medical Corporation
• Speech Bee Speech Therapy, Inc.
• Sportslab Socal Dr. JC Zegarra Chiropractic PC
• Rylee Lynn Stahl
• Christopher Stalewski
• Michael Dale Stouder, M.D.
• Samuel Sunshine, MD

• Speech-Language Pathologist in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.