Individual provider Active NPI

Amanda Sebestyen, CCC-SLP

  • Speech-Language Pathologist
  • Montrose, CO
National Provider Identifier
1972319705
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0005367 Issued in CO
Practice address
104 S 1St St
Montrose, CO 81401-3635
Phone
(909) 213-5967
NPI assigned
Dec 6, 2024
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-2380-0 HI
Speech-Language Pathologist 235Z00000X SLP.0005367 CO Primary

Addresses

Primary practice location

104 S 1St St
Montrose, CO 81401-3635

Mailing address

3414 Kestrel Loop
Montrose, CO 81401-7453
Phone (719) 337-0114

Other practice location 1

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

Other names 1

  • Amanda Brignola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250919004491 CO Practitioner - Qualified Speech Language Pathologist 8426552589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 S 1St St
Montrose, CO 81401-3635
Phone (909) 213-5969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP.0005367COMDSpeech-Language Pathologist
SP-2380-0HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dysphagia Diagnostics LLC Speech-Language Pathologist CurrentSince Sep 1, 2025 Accepting new patients
Advanced Dysphagia Diagnostics LLC Speech-Language Pathologist CurrentSince Sep 1, 2025 Accepting new patients

Locations

104 S 1st St
Montrose, CO 81401
Phone (909) 213-5969

2233 E Main St
Montrose, CO 81401
Phone (970) 249-3700

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1972319705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 KESTREL LOOP",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814017453",
            "telephone_number": "719-337-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S 1ST ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013635",
            "telephone_number": "909-213-5967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Waianuenue Ave",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202089",
            "country_code": "US",
            "telephone_number": "808-932-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBESTYEN",
        "first_name": "AMANDA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-2380-0",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BRIGNOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.

Verify at the official NPI Registry.