Active NPI
Amanda J Sumrall, M.S.,-SLP
- Speech-Language Pathologist
- Sparks, NV
National Provider Identifier
1861839805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1364
- Practice address
- 634 Pyramid Way
Sparks, NV 89431 - Phone
- (775) 336-0211
- Fax
- (775) 336-0213
- NPI assigned
- May 31, 2013
- Last updated
- Nov 27, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | UT | ||
| Speech-Language Pathologist | 235Z00000X | 8624516-4102 | UT | |
| Speech-Language Pathologist | 235Z00000X | SP-1364 | NV | Primary |
Addresses
Primary practice location
634 Pyramid Way
Sparks, NV 89431
Mailing address
634 Pyramid Way
Sparks, NV 89431-5059
Phone (775) 336-0211
Other practice location 1
1664 North Virginia Street
Ms 0152
Reno, NV 89557-0152
Phone (775) 784-4095
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients |
Locations
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
Organizations & group practices 1
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.
-
dba Ogden Clinic PC
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1861839805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 PYRAMID WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315059",
"telephone_number": "775-336-0211",
"fax_number": "775-336-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 PYRAMID WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "89431",
"telephone_number": "775-336-0211",
"fax_number": "775-336-0213"
}
],
"practiceLocations": [
{
"address_1": "1664 North Virginia Street",
"address_2": "MS 0152",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895570152",
"country_code": "US",
"telephone_number": "775-784-4095",
"fax_number": "775-784-4095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMRALL",
"first_name": "AMANDA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "M.S.,-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "8624516-4102",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-1364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.