AMANDA DOUGLAS (NPI# 1902315906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902315906 |
| Entity Type | Individual |
| Full Name | AMANDA DOUGLAS |
| Practice Address |
12371 S. Kirkwood Rd Stafford TX 77477 |
| Mailing Address |
12371 S Kirkwood Rd Stafford TX 77477-2836 |
| Practice Telephone | 7139929292 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 110685 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122869 | Amanda N Douglas | Physician Assistant | 1908 N Beale Rd Ste E, Marysville, CA 95901-6937 | 2018-08-06 |
| 1891248282 | Amanda Douglas | Counselor | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2016-08-02 |
| 1083065999 | Amanda Douglas | Social Worker | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2016-06-22 |
| 1053701805 | Amanda Douglas | Pharmacy Technician | 9901 York Rd, Cockeysville, MD 21030-3407 | 2015-02-02 |
| 1477786671 | Amanda Anne Douglas | Case Manager/Care Coordinator | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2009-09-03 |
| 1093861973 | Amanda A Douglas | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2007-01-25 |
| Street Address |
12371 S. KIRKWOOD RD |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| 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 |
|---|---|---|---|---|
| 1730795865 | Kemi Doris-destinie Pollock | Speech-Language Pathologist | 9 Cromwell Ct, Stafford, VA 22554-8810 | 2020-09-23 |
| 1619534294 | Caressa Benone | Speech-Language Pathologist | 1229 Garrisonville Rd Ste 2015, Stafford, VA 22556-3655 | 2019-05-20 |
| 1821586439 | Melody Hamlin | Speech-Language Pathologist | 475 Winding Creek Rd, Stafford, VA 22554-6805 | 2018-04-30 |
| 1821585662 | Ann Marie Nurnberger | Speech-Language Pathologist | 839 Garrisonville Rd, Stafford, VA 22554-3900 | 2018-04-17 |
| 1083119150 | Kerry Daly Nenni | Speech-Language Pathologist | 2125 Mountain View Rd, Stafford, VA 22556-6411 | 2018-03-29 |
| 1609377894 | Eileen Edwards | Speech-Language Pathologist | 50 Wood Dr, Stafford, VA 22556-1838 | 2018-02-23 |
| 1396136479 | Mhairi Louise Connolly | Speech-Language Pathologist | 1003 Richmond Dr, Stafford, VA 22554-1913 | 2015-02-11 |
| 1073800124 | Audrey Gerhardt | Speech-Language Pathologist | 12007 Breezy Meadow Dr, Stafford, TX 77477-2224 | 2011-07-08 |
| 1619294824 | Tobi Johnson Harden | Speech-Language Pathologist | 36 Pelham Way, Stafford, VA 22556-8036 | 2010-04-27 |
| 1821323262 | Adrienne Krouskop | Speech-Language Pathologist | 2765 Jefferson Davis Hwy Ste 209, Stafford, VA 22554-8331 | 2009-10-02 |
| Find all providers in STAFFORD | ||||
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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.