NPI Code Detail JSON Logo

1437509460 NPI number — AMANDA LEE PERME CCC-SLP

NPI Number: 1437509460
Health Care Provider/Practitioner: AMANDA LEE PERME CCC-SLP

Information about “1437509460” NPI (AMANDA LEE PERME CCC-SLP) exists in 1437509460 in HTML format HTML  |  1437509460 in plain Text format TXT  |  1437509460 in PDF (Portable Document Format) PDF  |  1437509460 in an XML format XML  formats.

NPI Number : 1437509460 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437509460",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERME",
    "FirstName": "AMANDA",
    "MiddleName": "LEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GIBSON",
    "OtherFirstName": "AMANDA",
    "OtherMiddleName": "LEE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "SLP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "300 W WIEUCA RD NE STE 115",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30342-3352",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-808-5427",
    "MailingAddressFaxNumber": "833-661-9958",
    "FirstLinePracticeLocationAddress": "300 W WIEUCA RD NE STE 115",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30342-3352",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-808-5427",
    "PracticeLocationAddressFaxNumber": "833-661-9958",
    "EnumerationDate": "06/21/2016",
    "LastUpdateDate": "04/13/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SLP009309",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.