Amanda Gossett, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1134 Issued in NV

Practice address

2626 Saint Joe Center Rd
Fort Wayne, IN 46825-5042

Phone

(260) 497-0328

Fax

(260) 749-7090

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Rupp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hand in Hand Comprehensive Therapy Specialists Inc

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1942465679

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1932313731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RIO CANYON CT APT 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282705",
            "telephone_number": "260-433-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 SAINT JOE CENTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255042",
            "telephone_number": "260-497-0328",
            "fax_number": "260-749-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSETT",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP1134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RUPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Gorrell
• Cynthia K Gorrell, NP
• Alexis Goshorn
• Christine F Goss, LMHC
• Sylvia Gossard
• Diane Louise Gotsch, RPH
• Gary Lynn Gotsch, D.D.S, M.S.D.
• Matthew Gotsch, DDS
• McKenna A Gottfried
• Jacob Samuel Gottlieb

• Speech-Language Pathologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.