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Amanda Newberry , SLP

Speech-Language Pathologist β€’ Ada, OK

Active NPI 1558615567 Individual Practitioner Female Practitioner
Practice location in NPPES

1921 Stonecipher Dr
Ada, OK 74820

Call 5804363980 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1921 Stonecipher Dr

Ada, OK 74820

Telephone 5804363980
Organization at the Same NPPES Address or Phone
Chickasaw Nation Division Of Health Facility NPI 1174063903

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Amanda Newberry has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Ada and Oklahoma

7 active clinicians are listed under Speech-Language Pathologist with a practice address in Ada, OK (2,454 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OK 3519

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20180524001562

Enrollment State Jurisdiction

TX

PECOS Control ID

1456616374

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1194915538

Doctor of Podiatric Medicine

Ramona Baker , APRN

Nurse Practitioner - Acute Care

NPI 1659034221

Advanced Practice Registered Nurse

Dr. Lucretia Barker , MD

Obstetrics & Gynecology

NPI 1003817172

Doctor of Medicine (M.D.)

Michelle Baxter , APRN, FNP-C

Nurse Practitioner - Family

NPI 1912348970

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1932173671

Doctor of Osteopathic Medicine (D.O.)

Daniel Boring , CRNA

Nurse Anesthetist, Certified Registered

NPI 1699250597

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 17, 2018

Registered at 1921 STONECIPHER DR, ADA, OK 74820 (Tel: 5804363980)

πŸ“
Updated Business Mailing Address May 11, 2018

Registered at 1921 STONECIPHER DR, ADA, OK 748203439 (Tel: 5804363980)

πŸ‘€
Provider Name / Credentials Updated May 11, 2018

Recorded as AMANDA NEWBERRY, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2018

Speech-Language Pathologist (license number reported to NPPES: OK 3519)

βœ…
NPI Profile Active October 30, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 30, 2012

Registered at 476670 E 1050 RD, MULDROW, OK 749485073 (Tel: 9187982802)

πŸ“
Business Mailing Address (Initial Record) October 30, 2012

Registered at 476670 E 1050 RD, MULDROW, OK 749485073

πŸ‘€
Provider Name / Credentials (Initial Record) October 30, 2012

Recorded as AMANDA NEWBERRY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2012

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration October 30, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558615567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2012
Last Update: August 17, 2018
Sole Proprietor: No

Mailing Address

1921 Stonecipher Dr

Ada, OK 748203439

Phone: 5804363980

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.