Individual provider Active NPI

Amy Hammond

  • Speech-Language Pathologist
  • Panama City, FL
National Provider Identifier
1932496601
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16146 Issued in FL
Practice address
6012 Magnolia Beach Rd
Panama City, FL 32408-7065
Phone
(850) 236-0510
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 104774 TX
Speech-Language Pathologist 235Z00000X 2202007477 VA
Speech-Language Pathologist 235Z00000X SA16146 FL Primary

Addresses

Primary practice location

6012 Magnolia Beach Rd
Panama City, FL 32408-7065

Mailing address

12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone (713) 959-9292

Other practice location 1

12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone (713) 959-9292

Other practice location 2

2715 Dogtown Rd
Goochland, VA 23063-2424
Phone (804) 556-4418

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

State licenses

LicenseStateTypeSpecialty
SA16146FLMDSpeech-Language Pathologist
104774TXMDSpeech-Language Pathologist
2202007477VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1932496601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-959-9292",
            "fax_number": "713-779-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 MAGNOLIA BEACH RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324087065",
            "telephone_number": "850-236-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12371 S Kirkwood Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "TX",
            "postal_code": "774772836",
            "country_code": "US",
            "telephone_number": "713-959-9292",
            "fax_number": "713-779-0204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2715 Dogtown Rd",
            "address_purpose": "LOCATION",
            "city": "Goochland",
            "state": "VA",
            "postal_code": "230632424",
            "country_code": "US",
            "telephone_number": "804-556-4418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104774",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007477",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.