Active NPI
Amber Humphrey, MS, CCC-SLP
- Speech-Language Pathologist
- Longview, WA
National Provider Identifier
1902336183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 60647826
- Practice address
- 1339 Commerce Ave Ste 105a
Longview, WA 98632-3738 - Phone
- (360) 261-1385
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 60647826 | WA | Primary |
Addresses
Primary practice location
1339 Commerce Ave Ste 105a
Longview, WA 98632-3738
Mailing address
140 Nevada PL
Longview, WA 98632-5688
Phone (360) 261-1385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1339 Commerce Ave
Suite 105a
Longview, WA 98632-3738
Phone (360) 967-8548
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60647826 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Articulate Brain, LLC | Current | Accepting new patients |
Locations
1339 Commerce Ave
Ste 105A
Longview, WA 98632
Phone (360) 261-1385
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.
-
- Hearing and Speech Clinic/Center
- Longview, WA
- NPI 1548922230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633824000000",
"number": "1902336183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 NEVADA PL",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986325688",
"telephone_number": "360-261-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 COMMERCE AVE STE 105A",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323738",
"telephone_number": "360-261-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "AMBER",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2021-10-10",
"certification_date": "2021-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "60647826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.