Active NPI
Amanda Kendall, MCD,CCC-SLP
- Speech-Language Pathologist
- Camden, SC
National Provider Identifier
1851955561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4353
- Practice address
- 30 Crickle Creek LN
Camden, SC 29020-2134 - Phone
- (803) 420-2823
- NPI assigned
- Apr 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4353 | SC | Primary |
Addresses
Primary practice location
30 Crickle Creek LN
Camden, SC 29020-2134
Mailing address
30 Crickle Creek LN
Camden, SC 29020-2134
Phone (803) 420-2823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4353 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1851955561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CRICKLE CREEK LN",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290202134",
"telephone_number": "803-420-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CRICKLE CREEK LN",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290202134",
"telephone_number": "803-420-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDALL",
"first_name": "AMANDA",
"credential": "MCD,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, SC
- Guy Beyer Kahler, M.D.
- Kairos Clinical Services LLC
- Theodore Eugene Kalutz, MD
- Whitney R Keen
- Susan Jane Kelly-Lowery
- Kershaw Anesthesia, LLC
- Kershaw Cnty Psych LLC
- Kershaw County Adult Day Care Center
- Kershaw County Board of Disabilities and Special Needs
- Kershaw County Commission on Alcohol and Drug Abuse
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.