Amanda Acevedo, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA 6790 Issued in AZ

Practice address

14448 N Ibsen Dr
Fountain Hills, AZ 85268-2921

Phone

(602) 531-0876

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2010.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1851596977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14448 N IBSEN DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682921",
            "telephone_number": "602-531-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14448 N IBSEN DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682921",
            "telephone_number": "602-531-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "THL631",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA 6790",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPL6653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC
• 2020 Image Fountain Hills
• 25 Bits, Inc.
• 360 Physical Therapy, LLC
• A Place to Heal
• Amy L Acton, COTA/L
• Acupuncture & Integrative Health Care of Arizona LLC
• Joseph Dominic Adams, OTR/L
• Sandrine Anne Aegerter, LMHC, LPC
• Afc Physical Medicine of Fountain Hills, PLLC

• All providers in Fountain Hills, AZ
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.