Individual provider Active NPI

Amy Margaret Nardi, B.S, M.S., SLP, CCC

  • Speech-Language Pathologist
  • East Moriches, NY
National Provider Identifier
1891991675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0011750 Issued in NY
Practice address
19 Johnson Ave
East Moriches, NY 11940-1136
Phone
(631) 909-1863
Fax
(631) 909-1863
NPI assigned
Jun 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0011750 NY Primary

Addresses

Primary practice location

19 Johnson Ave
East Moriches, NY 11940-1136

Mailing address

19 Johnson Ave
East Moriches, NY 11940-1136
Phone (631) 909-1863

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
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
0011750NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891991675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 JOHNSON AVE",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401136",
            "telephone_number": "631-909-1863",
            "fax_number": "631-909-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 JOHNSON AVE",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401136",
            "telephone_number": "631-909-1863",
            "fax_number": "631-909-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDI",
        "first_name": "AMY",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "B.S, M.S., SLP, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0011750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.