Active NPI
Amadna Overstreet, CCC-SLP
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1821415787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15817
- Practice address
- 11819 Pavilion Blvd
Austin, TX 78759-2391 - Phone
- (512) 249-0500
- Fax
- (512) 219-0188
- NPI assigned
- Mar 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15817 | TX | Primary |
Addresses
Primary practice location
11819 Pavilion Blvd
Austin, TX 78759-2391
Mailing address
11819 Pavilion Blvd
Austin, TX 78759-2391
Phone (512) 249-0500
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 |
|---|---|---|---|
| 15817 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1821415787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11819 PAVILION BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592391",
"telephone_number": "512-249-0500",
"fax_number": "512-219-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11819 PAVILION BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592391",
"telephone_number": "512-249-0500",
"fax_number": "512-219-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERSTREET",
"first_name": "AMADNA",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "15817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.