Amanda Lynn Bruner, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11471 Issued in FL

Practice address

3850 Tampa Rd
Palm Harbor, FL 34684-3670

Phone

(727) 786-5482

NPI assigned

Jun 8, 2011

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

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1831483718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 E KENNEDY BLVD",
            "address_2": "UNIT #N447",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023545",
            "telephone_number": "813-625-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843670",
            "telephone_number": "727-786-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Lee Brotherton, MD
• Alan Wayne Brown
• Kimberly Grayson Brown, RPH
• Madison Marjorie Brown, DPT
• Linda D Brozovich, PHARM D.
• Alyssa Carol Bubeck, DPT
• Sheila Buccini, PTA
• Miles Buckman
• Buddha Belly Birth Services LLC
• Alexa Buford, MSW, LCSW

• Speech-Language Pathologist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.