Individual provider Active NPI

Amy Carol Wadley, MASTER DEGREE

  • Speech-Language Pathologist
  • Batavia, OH
National Provider Identifier
1801287867
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 4373 Issued in OH
Practice address
2400 Clermont Center Dr
Clermont County Educational Service Center
Batavia, OH 45103-1990
Phone
(513) 734-2271
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 4373 OH Primary

Addresses

Primary practice location

2400 Clermont Center Dr
Clermont County Educational Service Center
Batavia, OH 45103-1990

Mailing address

8600 Toronto CT
Cincinnati, OH 45255-3260
Phone (513) 313-6961

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

LicenseStateTypeSpecialty
SP 4373OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1801287867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 TORONTO CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553260",
            "telephone_number": "513-313-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CLERMONT CENTER DR",
            "address_2": "CLERMONT COUNTY EDUCATIONAL SERVICE CENTER",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031990",
            "telephone_number": "513-734-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLEY",
        "first_name": "AMY",
        "middle_name": "CAROL",
        "credential": "MASTER DEGREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 4373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.