Amanda Elise Eckelkamp, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2011021973 Issued in MO

Practice address

2 E Springfield Ave
Union, MO 63084-1840

Phone

(636) 583-3152

NPI assigned

Jan 30, 2014

Last updated

Sep 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Union R-XI School Disrtict

  • Local Education Agency (LEA)
  • Union, MO
  • NPI 1962690776
  NPD (past)

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1831512599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EAST SPRINGFIELD",
            "city": "UNION",
            "state": "MO",
            "postal_code": "63084",
            "telephone_number": "636-583-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E SPRINGFIELD AVE",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841840",
            "telephone_number": "636-583-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKELKAMP",
        "first_name": "AMANDA",
        "middle_name": "ELISE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011021973",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Devenuto
• Doris Dimaya, PLPC
• Michelle R Dolley, CMF
• Dr Kent B Hill Optometrist PC (Union Eye Associates)
• Taylor Shea Echele, LCSW
• Jenna N Eckelkamp, DPT
• Michael Q. Edwards, D.M.D.
• Elise Marie Eichberg, LPC
• Rhiannon Elise Eilers, LMSW
• Timothy Scott Ellefson, DC

• Speech-Language Pathologist in Union, MO
• Providers in Union, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.