AMANDA P GOMEZ (NPI# 1508068412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508068412 |
| Entity Type | Individual |
| Full Name | AMANDA P GOMEZ |
| Credential | MS-CCC-SLP |
| Practice Address |
4530 Nelson Brogdon Blvd Ste C Buford GA 30518 |
| Mailing Address |
4530 Nelson Brogdon Blvd Ste C Buford GA 30518-5407 |
| Practice Telephone | 6788209606 |
| Practice Fax Number | 8448209616 |
| Mailing Telephone | 6788209606 |
| Mailing Fax Number | 8448209616 |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP 006456 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003134692A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9230 Horseshoe Bnd, Gainesville, GA 305065823 | 4049095022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750712154 | Amanda Gomez | Nurse Practitioner | 435 South St Ste 340, Morristown, NJ 07960-6473 | 2013-12-10 |
| 1245837541 | Amanda Ann Gomez | Social Worker | 3112 Hennepin Ave, Minneapolis, MN 55408-2619 | 2020-10-08 |
| 1174168777 | Amanda Gomez | Speech-Language Pathologist | 13333 Blanco Rd Ste 310, San Antonio, TX 78216-7756 | 2019-11-07 |
| 1366932063 | Amanda Gomez | Marriage & Family Therapist | 1393 Bailey St, Hanford, CA 93230 | 2018-05-17 |
| 1225481203 | Amanda R. Gomez | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746-3211 | 2016-07-14 |
| 1518335124 | Amanda M Gomez | Nurse Practitioner | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2015-09-14 |
| 1316332299 | Amanda Ryan Gomez | Pediatrics | 300 Longwood Ave, Hunnewell Building, Pavilion 129, Housestaff Lounge, Boston, MA 02115 | 2015-03-30 |
| 1003156944 | Amanda Gomez | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2013-02-28 |
| Street Address |
4530 NELSON BROGDON BLVD STE C |
| City | BUFORD |
| State | GA |
| Zip Code | 30518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912071176 | Lane Roberts Rials | Speech-Language Pathologist | 4530 Nelson Brogdon Blvd Ste C, Buford, GA 30518 | 2006-11-20 |
| 1790266625 | Caroline S Todd | Speech-Language Pathologist | 4530 Nelson Brogdon Blvd Ste C, Buford, GA 30518-5407 | 2018-08-28 |
| 1619487576 | Amanda Gay | Occupational Therapist | 4530 Nelson Brogdon Blvd Ste C, Buford, GA 30518-5407 | 2017-10-05 |
| 1275981995 | Jennifer Brown | Speech-Language Pathologist | 4530 Nelson Brogdon Blvd Ste C, Buford, GA 30518-5407 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| Find all providers in zip 30518 | ||||
| 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 |
|---|---|---|---|---|
| 1669974846 | Kidz Speak Therapeutic Services LLC | Speech-Language Pathologist | 2853 Morgan Farm Ct, Buford, GA 30519-3042 | 2018-03-05 |
| 1982114278 | Independent Physical Therapy of Ga, LLC | Speech-Language Pathologist | 3919 Carter Rd # A, Buford, GA 30518-1628 | 2017-10-02 |
| 1588173660 | Sarah Catherine Smith | Speech-Language Pathologist | 2879 Hidden Falls Dr, Buford, GA 30519-4538 | 2017-09-21 |
| 1750810719 | Corinne Ida Porte | Speech-Language Pathologist | 4319 South Lee Street, Chandler Speech and Language Services, Buford, GA 30518-5747 | 2017-06-05 |
| 1538560990 | Jana M Rodgers | Speech-Language Pathologist | 3182 Camens Way, Buford, GA 30519-6775 | 2014-09-04 |
| 1316372659 | Motor Mouth Therapy, LLC | Speech-Language Pathologist | 3145 Buford Hwy, Suite B, Buford, GA 30518-6070 | 2013-09-05 |
| 1215299318 | Dana M Stolze | Speech-Language Pathologist | 3362 Anna Ruby Ln, Buford, GA 30519-4578 | 2012-06-13 |
| 1609190933 | Emily Louise Chandler | Speech-Language Pathologist | 4319 S Lee St, Suite 300, Buford, GA 30518-5747 | 2010-03-15 |
| 1508198532 | Lauren Rebecca Davis | Speech-Language Pathologist | 2040 Misty Oaks Dr, Buford, GA 30519-8600 | 2010-02-01 |
| 1871739292 | Deinna Jones | Speech-Language Pathologist | 470 South Hill Street, Helping Hands Pediatric Therapy, Inc., Buford, GA 30518 | 2009-01-07 |
| Find all providers in BUFORD | ||||
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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.