Individual provider Active NPI

Amanda Joy Sutta, CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1972722809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8030 Issued in FL
Practice address
2645 SW 37TH Ave
Suite 304
Miami, FL 33133-2754
Phone
(305) 448-7101
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SA 8030 FL Primary

Addresses

Primary practice location

2645 SW 37TH Ave
Suite 304
Miami, FL 33133-2754

Mailing address

8284 SW 196TH Ter
Miami, FL 33189-2026
Phone (305) 742-1325

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA 8030FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Speech and Occupational Therapy PastSince Sep 18, 2013 Accepting new patients

Organizations & group practices 1

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972722809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8284 SW 196TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892026",
            "telephone_number": "305-742-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 SW 37TH AVE",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332754",
            "telephone_number": "305-448-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTA",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.