Amanda Stevens, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15071 Issued in FL

Practice address

112 W Citrus St
Altamonte Springs, FL 32714-2502

Phone

(407) 865-5642

NPI assigned

Dec 1, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Nourish Pediatric Therapy, LLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1265942205

  Speech-Language Pathologist

  NPD (past) Authorized official
• Can DO Therapies, Inc.

  • Clinic/Center
  • Altamonte Springs, FL
  • NPI 1396938056
  NPD (past)
• Pediatric Therapy of Ormond, LLC

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1568646008

  Speech-Language Pathologist

  NPD (past)
• Pediatric Therapy of Ormond, LLC

  • Early Intervention Provider Agency
  • Ormond Beach, FL
  • NPI 1679227508
  NPD (past)

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972978070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 JAKE ST UNIT 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328145915",
            "telephone_number": "407-227-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W CITRUS ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142502",
            "telephone_number": "407-865-5642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Black Water Way",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321745706",
            "country_code": "US",
            "telephone_number": "386-871-0428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "AMANDA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Anne Stephens, ARNP
• Sharon A Stephens, LMT
• Kerri Sterchi
• Steven G. Sable, DO, PA
• Alondra Stevens-Ervin, DC
• Lisa Ann Stewart, FNP
• Donald Duane Stoddard, MD
• Winnifred Stokes
• Ilana L Stone, ARNP
• Stonehill Investment Partnership Inc (D/B/A Boston Diagnostic Imaging)

• Speech-Language Pathologist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.