Amanda Marlene Ford, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

101 S 8TH St
Newman Grove, NE 68758

Phone

(402) 447-6294

NPI assigned

Jul 20, 2016

Last updated

May 6, 2019By the provider in NPPES

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

• Ms. Amanda Marlene Burke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Boone County Health Center

  dba St Edward Medical Clinic

  • Rural Health Clinic/Center
  • Saint Edward, NE
  • NPI 1144119488
  NPD (past)
• Mid-Nebraska Lutheran Home, Assn.

  dba Mid-Nebraska Lutheran Home

  • Skilled Nursing Facility
  • Newman Grove, NE
  • NPI 1003807942
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1932552460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N 6TH ST",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201003",
            "telephone_number": "515-771-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S 8TH ST",
            "city": "NEWMAN GROVE",
            "state": "NE",
            "postal_code": "68758",
            "telephone_number": "402-447-6294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 W Fairview St",
            "address_purpose": "LOCATION",
            "city": "Albion",
            "state": "NE",
            "postal_code": "686201725",
            "country_code": "US",
            "telephone_number": "402-395-2191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Newman Grove",
            "state": "NE",
            "postal_code": "687586017",
            "country_code": "US",
            "telephone_number": "402-447-6203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1222 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Albion",
            "state": "NE",
            "postal_code": "686201716",
            "country_code": "US",
            "telephone_number": "402-395-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NE",
            "postal_code": "687486319",
            "country_code": "US",
            "telephone_number": "402-454-2656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "AMANDA",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BURKE",
            "middle_name": "MARLENE",
            "prefix": "MS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Boone County Health Center (Newman Grove Medical Clinic)
• City of Newman Grove (Newman Grove Fire and Rescue)
• Brandi Fader
• Arlene R Gettert
• Kimberly Konwinski
• Courtney Kurtenbach, M.S.ED., CCC-SLP
• Mid-Nebraska Lutheran Home, Assn. (Mid-Nebraska Lutheran Home)
• Newman Grove Public Schools

• Speech-Language Pathologist in Newman Grove, NE
• Providers in Newman Grove, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.