Active NPI
Amy Kennedy Thomas, M.A., CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1861537243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 8916
- Practice address
- 22 Lake Beauty Dr
Suite 304
Orlando, FL 32806-2037 - Phone
- (407) 924-5430
- NPI assigned
- Feb 21, 2007
- 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 | SA 8916 | FL | Primary |
Addresses
Primary practice location
22 Lake Beauty Dr
Suite 304
Orlando, FL 32806-2037
Mailing address
2518 Chippewa TRL
Maitland, FL 32751-4045
Phone (407) 924-5430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890769200 | Medicaid | FL | |
| SA 8916 | Other | FL | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3280 Progress Dr
Suite 500
Orlando, FL 32826-2903
Phone (407) 882-0468
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 8916 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Central Florida Board of Trustees | Current | Accepting new patients | |
| The University of Central Florida Board of Trustees | Speech-Language Pathologist | Current | Accepting new patients |
| Word of Mouth LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
3280 Progress Dr
Ste 500
Orlando, FL 32826
Phone (407) 882-0468
3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1568497527
-
- Speech-Language Pathologist
- Maitland, FL
- NPI 1316371669
-
- Neurology Physician
- Orlando, FL
- NPI 1609575786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1861537243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 CHIPPEWA TRL",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514045",
"telephone_number": "407-924-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 LAKE BEAUTY DR",
"address_2": "SUITE 304",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062037",
"telephone_number": "407-924-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "AMY",
"middle_name": "KENNEDY",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 8916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890769200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "SA 8916",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.