Individual provider Active NPI

Amanda Moore Heuman, M.S., CCC-SLP

  • Speech-Language Pathologist
  • New Port Richey, FL
National Provider Identifier
1972524312
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7405 Issued in FL
Practice address
6245 State Road 54
New Port Richey, FL 34653-6006
Phone
(727) 376-1111
Fax
(727) 376-1113
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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 SA7405 FL Primary

Addresses

Primary practice location

6245 State Road 54
New Port Richey, FL 34653-6006

Mailing address

6245 State Road 54
New Port Richey, FL 34653-6006
Phone (727) 376-1111

Other practice location 1

1226 Mariner Blvd
Spring Hill, FL 34609-5657
Phone (727) 376-1111

Other identifiers 1

IdentifierTypeStateIssuer
889468000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090720000419 FL Practitioner - Qualified Speech Language Pathologist 2163574385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Kernaghan and Moore: Speech and Language Therapy Services, Inc. Speech-Language Pathologist CurrentSince Oct 8, 2018 Accepting new patients
Kernaghan and Moore: Speech and Language Therapy Services, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

6245 State Road 54
New Prt Rchy, FL 34653
Phone (727) 376-1111

1226 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-5550

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1972524312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536006",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536006",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1226 Mariner Blvd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346095657",
            "country_code": "US",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE HEUMAN",
        "first_name": "AMANDA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889468000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.