Individual provider Active NPI

Amanda Ann Paffumi, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Prescott Valley, AZ
National Provider Identifier
1831232404
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP4510 Issued in AZ
Practice address
9170 E Circling Hawk Rd
Prescott Valley, AZ 86315-9668
Phone
(480) 818-0062
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 SLP4510 AZ Primary

Addresses

Primary practice location

9170 E Circling Hawk Rd
Prescott Valley, AZ 86315-9668

Mailing address

9170 E Circling Hawk Rd
Prescott Valley, AZ 86315-9668
Phone (480) 818-0062

Other identifiers 1

IdentifierTypeStateIssuer
893190MedicaidAZ

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP4510AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Teachers Speech Language Hearing Services PLLC Speech-Language Pathologist Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1831232404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9170 E CIRCLING HAWK RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863159668",
            "telephone_number": "480-818-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9170 E CIRCLING HAWK RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863159668",
            "telephone_number": "480-818-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAFFUMI",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "893190",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.