Individual provider Active NPI

Amy West Laviola, M.ED.

  • Speech-Language Pathologist
  • Canton, GA
National Provider Identifier
1891065397
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019539 Issued in NY
Practice address
115 Academy St Ste 102
Canton, GA 30114-3008
Phone
(404) 444-1521
NPI assigned
Dec 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 019539 NY Primary

Addresses

Primary practice location

115 Academy St Ste 102
Canton, GA 30114-3008

Mailing address

115 Academy St Ste 102
Canton, GA 30114-3008

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
019539NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Simplicity Therapy Group Inc Speech-Language Pathologist CurrentSince Aug 11, 2024 Accepting new patients

Locations

115 Academy St
Ste 102
Canton, GA 30114
Phone (404) 390-2173

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1891065397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ACADEMY ST STE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ACADEMY ST STE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143008",
            "telephone_number": "404-444-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIOLA",
        "first_name": "AMY",
        "middle_name": "WEST",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-31",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.