Amy Christine Etkie, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 10046 Issued in FL

Practice address

21929 Cricklewood Ter
Boca Raton, FL 33428-3053

Phone

(954) 298-7591

Fax

(561) 288-6000

NPI assigned

Sep 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ace Therapy Group, LLC

  • Speech-Language Pathologist
  • Boca Raton, FL
  • NPI 1649565284
  NPD (past) Authorized official

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1821246471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21929 CRICKLEWOOD TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283053",
            "telephone_number": "954-298-7591",
            "fax_number": "561-288-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21929 CRICKLEWOOD TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283053",
            "telephone_number": "954-298-7591",
            "fax_number": "561-288-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETKIE",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 10046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000394400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Estiverne
• Seth Howard Estrin, D.C.
• Eternal Acupuncture LLC
• Eternal Wellness
• Kellee A Etghayi, A.P.R.N.
• Andrea Buonaiuto Etkie
• Joshua David Etman, DDS
• Daniel Ettedgui, D.O.
• Haley-Elaine Eubanks
• European Senior Care LLC

• All providers in Boca Raton, FL
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.