AMANDA SULLIVAN
NPI 1093349672
Speech-Language Pathologist in Providence, RI

Active since February 24, 2020
1000 EDDY ST, PROVIDENCE, RI 02905(401) 533-9100(401) 533-9105 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA SULLIVAN (NPI 1093349672) is an individual speech-language pathologist provider in Providence, Rhode Island, licensed in Rhode Island (SP00631-P) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1093349672
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMANDA SULLIVAN
Location Address1000 EDDY STProvidence, RI 02905-4739
Mailing Address1000 Eddy StProvidence, RI 02905-4739 · (401) 533-9100 · Fax (401) 533-9105
Fax(401) 533-9105
Sole ProprietorNo
Enumeration DateFebruary 24, 2020
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
NPI 1093349672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in RI · SP00631-P
Definition
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.
1000 EDDY ST, Providence, RI 02905

Other Identifiers 3

OtherSB870RI · Bc Ri
Other0614RI · Nhp Ri
MedicaidES01788RI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1000 EDDY ST
PROVIDENCE, RI 02905
Case Manager/Care Coordinator
1000 EDDY ST
PROVIDENCE, RI 02905
Speech-Language Pathologist
1000 EDDY ST
PROVIDENCE, RI 02905
Dietitian, Registered
1000 EDDY ST
PROVIDENCE, RI 02905
Registered Nurse
1000 EDDY ST
PROVIDENCE, RI 02905
Registered Nurse
1000 EDDY ST
PROVIDENCE, RI 02905
Case Manager/Care Coordinator
1000 EDDY ST
PROVIDENCE, RI 02905
Occupational Therapist
1000 EDDY ST
PROVIDENCE, RI 02905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Sullivan's NPI number?

The NPI number for Amanda Sullivan is 1093349672. It was assigned to this individual provider in the NPPES registry on February 24, 2020.

Where is Amanda Sullivan located?

Amanda Sullivan practices at 1000 Eddy St, Providence, RI 02905. The listed phone number is (401) 533-9100.

What is Amanda Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Amanda Sullivan was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.