Amanda Beth Fambrough

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6199 Issued in OK

Practice address

1012 24TH Ave NW
Norman, OK 73069-6490

Phone

(056) 014-3034

NPI assigned

Nov 6, 2019

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

Other names 1

• Amanda Beth Blomgren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Hometown Therapy Services, LLC

  • Hearing and Speech Clinic/Center
  • Ardmore, OK
  • NPI 1447827183
  NPD (past)
• Quest Norman LLC

  • Physical Rehabilitation Occupational Therapist
  • Norman, OK
  • NPI 1912587452

  Speech-Language Pathologist

  NPD (past)
• Quest Pediatric Therapy

  • Pediatric Occupational Therapist
  • Oklahoma City, OK
  • NPI 1417335225
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1831733419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892373",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731892373",
            "telephone_number": "405-601-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696490",
            "telephone_number": "056-014-3034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 S I 35 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731609046",
            "country_code": "US",
            "telephone_number": "405-601-4303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 NW 36th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731127468",
            "country_code": "US",
            "telephone_number": "405-601-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAMBROUGH",
        "first_name": "AMANDA",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "CF548",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "6199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BLOMGREN",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Medicine Associates of Norman

• All providers in Norman, OK
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.