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Amanda Jean Peters , MA, CCC-SLP

Speech-Language Pathologist β€’ Madison, WI

Active NPI 1104436708 Individual Practitioner Female Practitioner
Practice location in NPPES

128 E Olin Ave
Madison, WI 537131467

Call 6082521320 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

128 E Olin Ave

Madison, WI 537131467

Telephone 6082521320
Fax 6082521333
Organization at the Same NPPES Address or Phone
Family Service Madison Inc Facility NPI 1881806198

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Austin, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

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

Compared with the same specialty in Madison and Wisconsin

366 active clinicians are listed under Speech-Language Pathologist with a practice address in Madison, WI (3,787 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Madison

1.9% of these 366 clinicians have the CMS telehealth indicator.

4.6% of these 366 clinicians are listed by CMS as accepting Medicare assignment.

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

Self-certified to NPPES: 2022-11-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TX 116037

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: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Wi Department Of Safety And Professional Services
6093 (WI)

Secondary Practice Locations

9737 Great Hills Trl Ste 120

Austin, TX 787596418

Phone: 5128722180

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location November 17, 2022

Registered at 128 E OLIN AVE, MADISON, WI 537131467 (Tel: 6082521320)

πŸ‘€
Provider Name / Credentials Updated November 17, 2022

Recorded as AMANDA PETERS, M.A., CCC-SLP

βœ…
NPI Profile Active August 07, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2020

Registered at 9737 GREAT HILLS TRL STE 120, AUSTIN, TX 787596418 (Tel: 5128722180)

πŸ“
Business Mailing Address (Initial Record) August 07, 2020

Registered at 7201 RANCH ROAD 2222 APT 1318, AUSTIN, TX 787303214 (Tel: 2247031824)

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2020

Recorded as AMANDA CARLSON, M.A., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2020

Speech-Language Pathologist (license number reported to NPPES: TX 116037)

🟒
Initial NPI Registration & Enumeration August 07, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104436708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2020
Last Update: November 17, 2022
Sole Proprietor: No

Other Speech-Language Pathologists in Madison

All Speech-Language Pathologists in Madison

Mailing Address

7201 Ranch Road 2222 Apt 1318

Austin, TX 787303214

Phone: 2247031824

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.