Individual provider Active NPI

Amy Jenkins Robinson, MA, CCC-SLP

  • Speech-Language Pathologist
  • Shelby, NC
National Provider Identifier
1922628346
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5084 Issued in NC
Practice address
270 Conifer Way
Shelby, NC 28150-7302
Phone
(704) 473-1675
Fax
(980) 701-0008
NPI assigned
Apr 27, 2020
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 5084 NC Primary

Addresses

Primary practice location

270 Conifer Way
Shelby, NC 28150-7302

Mailing address

270 Conifer Way
Shelby, NC 28150-7302
Phone (704) 473-1675

Other practice location 1

1607 E Dixon Blvd
Shelby, NC 28152-6976
Phone (704) 473-1675

Other practice location 2

811 W Warren St
Shelby, NC 28150-5023
Phone (704) 473-1675

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 Arts

State licenses

LicenseStateTypeSpecialty
5084NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wood SLP Services, Inc. Speech-Language Pathologist CurrentSince May 1, 2020 Accepting new patients
Wood SLP Services, Inc. CurrentSince Jun 28, 2020 Accepting new patients

Locations

1607 E Dixon Blvd
Shelby, NC 28152
Phone (704) 473-1675

811 W Warren St
Shelby, NC 28150
Phone (704) 473-1675

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1922628346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 CONIFER WAY",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281507302",
            "telephone_number": "704-473-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CONIFER WAY",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281507302",
            "telephone_number": "704-473-1675",
            "fax_number": "980-701-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 E Dixon Blvd",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281526976",
            "country_code": "US",
            "telephone_number": "704-473-1675",
            "fax_number": "980-701-0008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 W Warren St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281505023",
            "country_code": "US",
            "telephone_number": "704-473-1675",
            "fax_number": "980-701-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "AMY",
        "middle_name": "JENKINS",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.