AMANDA R GRAVES (NPI# 1134370588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134370588 |
| Entity Type | Individual |
| Full Name | AMANDA R GRAVES |
| Practice Address |
10021 Dupont Circle Ct Fort Wayne IN 46825-1604 |
| Practice Telephone | 2604268117 |
| Practice Fax Number | 2604200817 |
| Mailing Telephone | 2604268117 |
| Mailing Fax Number | 2604200817 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22003985A | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200543810 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968804 | Amanda Graves | Nurse Practitioner | 1900 N State St Ste 103, Provo, UT 84604-1354 | 2018-07-12 |
| 1023536968 | Amanda Graves | Occupational Therapist | 637 Highwood Cir, Charleston, SC 29412-9004 | 2017-08-30 |
| 1487087037 | Amanda Graves | Social Worker | 79427 Calle Palmeto, La Quinta, CA 92253-8554 | 2013-08-19 |
| 1205105327 | Amanda Graves | Speech-Language Pathologist | 600 S Tyler St Ste 805, Amarillo, TX 79101-2353 | 2011-12-19 |
| 1346807542 | Amanda Gabrielle Graves | Family Medicine | 2347 Fifth Ave, Mckeesport, PA 15132-1126 | 2019-05-22 |
| 1811495542 | Amanda Delgado Graves | Social Worker | 10945 Reed Hartman Hwy, Blue Ash, OH 45242-2828 | 2018-01-29 |
| 1033623418 | Amanda Jean Graves | Massage Therapist | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2017-11-21 |
| 1205232576 | Amanda Marie Graves | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2014-11-13 |
| 1205142080 | Amanda Graves | Speech-Language Pathologist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2010-08-31 |
| 1750404893 | Amanda Graves | Counselor | 29 Ravenscroft Dr, Suite 201, Asheville, NC 28801-3673 | 2007-04-06 |
| Street Address |
10021 DUPONT CIRCLE CT |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444390 | John E Westfall | Otolaryngology | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2005-08-10 |
| 1467011650 | Jessica O'sullivan | Audiologist | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2019-06-11 |
| 1902395791 | Elizabeth Davis | Audiologist | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2018-05-07 |
| 1801310032 | Kara Massey | Audiologist | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2017-07-31 |
| 1558810713 | Kaitlin Weiss | Physician Assistant | 10021 Dupont Circle Ct, Fort Wayne, IN 46825 | 2016-09-29 |
| 1457800682 | Rachel Allyson Stone | Physician Assistant | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2016-09-29 |
| 1649652835 | Jillian Hubertz | Audiologist | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2015-06-24 |
| 1639583677 | Traci A Miller | Audiologist | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2014-06-18 |
| 1760801872 | Sreeya Yalamanchali | Otolaryngology | 10021 Dupont Circle Ct, Fort Wayne, IN 46825 | 2014-04-16 |
| 1639590029 | Jenna A. Szymialis | Audiologist | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2014-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477110674 | Ronalee Marie Rasmussen | Speech-Language Pathologist | 2831 Settlement Creek Run, Fort Wayne, IN 46804-6077 | 2019-05-22 |
| 1962964064 | Mary Richardson | Speech-Language Pathologist | 5930 Hallowell Pl, Fort Wayne, IN 46815-6214 | 2019-04-05 |
| 1528525490 | Katharine Gregg | Speech-Language Pathologist | 2006 Edith Ave, Fort Wayne, IN 46808-2288 | 2019-02-26 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1710409933 | Jacqueline Brooks | Speech-Language Pathologist | 7902 Crosshill Ct, Fort Wayne, IN 46825-3191 | 2017-07-10 |
| 1427503242 | Nicole Altherr | Speech-Language Pathologist | 5601 Coventry Lane, Fort Wayne, IN 46804-5435 | 2016-08-22 |
| 1104295021 | Courtney A Miller | Speech-Language Pathologist | 2427 Maples Rd, Fort Wayne, IN 46816-2427 | 2015-09-21 |
| 1326462441 | Mariela Ramos-hernandez | Speech-Language Pathologist | 9426 Lima Rd Ste A, Fort Wayne, IN 46818-8681 | 2014-02-10 |
| 1487097804 | Abby Crouse | Speech-Language Pathologist | 804 Owls Pt, Fort Wayne, IN 46825-2854 | 2013-04-16 |
| 1245576511 | Angela K Baxter | Speech-Language Pathologist | 6126 Groveland Dr, Fort Wayne, IN 46835-3715 | 2012-12-14 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on AMANDA R GRAVES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.