Amanda Arnzen
Individual provider Active NPI Speech-Language Pathologist · Bellevue, KY
NPI 1831962653 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1831962653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.15212 (OH)
- Practice address
- 260 Foote Ave
Bellevue, KY 41073-1219 - Phone
- (859) 801-8455
- NPI assigned
- Nov 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
2950 Turkeyfoot Rd
Edgewood, KY 41017-5400
Phone (859) 331-8333
6849 Beechmont Ave
Cincinnati, OH 45230-2993
Phone (513) 386-9134
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241125001196 | KY | Practitioner - Qualified Speech Language Pathologist | 6709311954 | Reassigns benefits to 1 organization |
| I20241125001298 | OH | Practitioner - Qualified Speech Language Pathologist | 6709311954 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.15212 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
110 Horizon Dr
#310
Raleigh, NC 27615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.15212 | OH | Yes |
Addresses
Primary practice location
260 Foote Ave
Bellevue, KY 41073-1219
Mailing address
260 Foote Ave
Bellevue, KY 41073-1219
Phone (859) 801-8455
Other providers in Bellevue, KY
- Jennifer Amy Adams
- Bellevue Board of Education
- Corey Buller
- Elizabeth Steering Burba
- Cincinnati Healthcare Group PSC, Dba Patient First Physicians Group
- Cincinnati Vamc
All providers in Bellevue, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.