AMANDA BACK (NPI# 1235340035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235340035 |
| Entity Type | Individual |
| Full Name | AMANDA BACK |
| Credential | MS SLP-CCC |
| Practice Address |
105 Daniel Dr Danville KY 40422-2527 |
| Mailing Address |
108 Molly Cir Nicholasville KY 40356-2675 |
| Practice Telephone | 8592396670 |
| Mailing Telephone | 8595523061 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 05036 | KY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340941 | Amanda Back | Genetic Counselor, MS | 1100 Walnut St Ste 602, Philadelphia, PA 19107-5563 | 2020-09-10 |
| 1023509445 | Amanda Back | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2018-05-21 |
| Street Address |
105 DANIEL DR |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619185287 | Leslie Johnson Hardman | Occupational Therapist | 105 Daniel Dr, Danville, KY 40422-2527 | 2007-05-18 |
| 1639360472 | Ephraim Mcdowell Regional Medical Center | Rehabilitation Unit | 105 Daniel Dr, Danville, KY 40422-2527 | 2007-08-07 |
| 1467663914 | Nikki Wright | Speech-Language Pathologist | 105 Daniel Dr, Danville, KY 40422-2527 | 2007-05-25 |
| 1467663351 | Cheryl Faul | Speech-Language Pathologist | 105 Daniel Dr, Danville, KY 40422-2527 | 2007-05-24 |
| 1912118720 | Beth Vandivier | Physical Therapist | 105 Daniel Dr, Danville, KY 40422-2527 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| 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 |
|---|---|---|---|---|
| 1861005472 | Jamie Marie Bond | Speech-Language Pathologist | 418 Railroad St, Danville, PA 17821-1547 | 2020-08-25 |
| 1447875992 | Carly Marie Legg | Speech-Language Pathologist | 418 Railroad St Ste 102, Danville, PA 17821-1547 | 2020-06-10 |
| 1700415221 | Danielle Chapey | Speech-Language Pathologist | 905 San Ramon Valley Blvd Ste 210, Danville, CA 94526-4035 | 2020-04-06 |
| 1518452440 | Laura Mize Group Inc | Speech-Language Pathologist | 224 Jane Trl, Danville, KY 40422-9448 | 2018-06-23 |
| 1598258873 | Kayla Nicole Zaken | Speech-Language Pathologist | 175 Deer Run Rd Ste A, Danville, VA 24540-2863 | 2018-06-11 |
| 1023528866 | Bailey Nicole Allen | Speech-Language Pathologist | 930 Colfax Dr, Danville, IL 61832-3325 | 2017-10-06 |
| 1336677814 | Afsaneh Vaziri | Speech-Language Pathologist | 133 Westfield Cir, Danville, CA 94526-4832 | 2017-05-30 |
| 1760919567 | Hazley Williams Yeager | Speech-Language Pathologist | 84 Trump Rd, Danville, PA 17821-9375 | 2017-05-11 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1588024566 | Patricia Marguerite Keefer | Speech-Language Pathologist | 205 West Rambo St., Danville, OH 43014 | 2016-03-03 |
| Find all providers in DANVILLE | ||||
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| 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.