Active NPI
Allison Amdur
- Speech-Language Pathologist
- Somerville, MA
National Provider Identifier
1992055644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 61 Medford St
Somerville, MA 02143-3421 - Phone
- (617) 629-3919
- NPI assigned
- Sep 10, 2012
- Sex
- Female
- Sole proprietor
- No
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)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
61 Medford St
Somerville, MA 02143-3421
Mailing address
9 Greenway CT
Apt B
Brookline, MA 02446-3357
Phone (216) 346-3610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2012.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1992055644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GREENWAY CT",
"address_2": "APT B",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463357",
"telephone_number": "216-346-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MEDFORD ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021433421",
"telephone_number": "617-629-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMDUR",
"first_name": "ALLISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.