Amanda K Tippins, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14455877 Issued in AL

Practice address

564 N Memorial Dr
Prattville, AL 36067-2132

Phone

(334) 491-0066

NPI assigned

Aug 30, 2023

Last updated

Aug 30, 2023By 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 1

Addresses

Other names 1

• Amanda K Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Bailey Center, LLC

  • Speech-Language Pathologist
  • Prattville, AL
  • NPI 1306477328
  NPD

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1831974500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 COMANCHE ST",
            "city": "MONTEVALLO",
            "state": "AL",
            "postal_code": "351153668",
            "telephone_number": "334-294-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 N MEMORIAL DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360672132",
            "telephone_number": "334-491-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPINS",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "14455877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BROWN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charlotte Lynn Thompson, M.S., CCC-A
• Patricia Thorn
• Analicy Ticiani Perini
• Mark B. Tickle, DMD
• Hannah Claire Till
• Natalie Tirado, CT
• Patrice Toles
• Transformation Counseling, Inc.
• Alfred Travis
• Charlton H Trinidad, MD

• Speech-Language Pathologist in Prattville, AL
• Providers in Prattville, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.