Amanda Jean Russell, MA CF/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY08071 Issued in KY

Practice address

4150 Alexandria Pike Ste 108
Cold Spring, KY 41076-3500

Phone

(859) 572-0430

Fax

(859) 572-0163

NPI assigned

May 19, 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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1801021829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 ALEXANDRIA PIKE STE 108",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410763500",
            "telephone_number": "859-572-0430",
            "fax_number": "859-572-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 ALEXANDRIA PIKE STE 108",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410763500",
            "telephone_number": "859-572-0430",
            "fax_number": "859-572-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MA CF/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY08071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Valley Dialysis LLC (Cold Spring Dialysis)
• Riverside Medical Center
• Bryan Thomas Robinett, D.C.
• Colleen Roddy
• Whitney Michelle Rodriguez
• Jacklyn Sampson, PHARMD
• Sarah Parker Inc (right at home)
• Charlotte Savill, RN MSN PMHNP-C
• Abbigail Scharf, RDN, LD, MS
• Alexandra Schifano

• Speech-Language Pathologist in Cold Spring, KY
• Providers in Cold Spring, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.