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AMY L EDGEMON CCC-SLP
NPI 1528633591
Speech-Language Pathologist in Las Vegas, NV

Active since May 23, 2021
6345 S JONES BLVD STE 300, LAS VEGAS, NV 89118(702) 515-4009 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 30, 2021, May 23, 2021 (2 updates tracked since 2021).

About Amy L Edgemon Ccc-slp NPPES

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

AMY L EDGEMON CCC-SLP (NPI 1528633591) is an individual speech-language pathologist provider in Las Vegas, Nevada, licensed in Nevada (SP-2984) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1528633591
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMY L EDGEMONCredential: CCC-SLP
Location Address6345 S JONES BLVD STE 300Las Vegas, NV 89118-3334
Mailing Address1876 Michael Springs PlNorth Las Vegas, NV 89084-3812 · (850) 420-1417
Phone(702) 515-4009
Sole ProprietorYes
Enumeration DateMay 23, 2021
Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1528633591 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
Licenses✔ Licensed in NV · SP-2984✔ Licensed in FL · SZ9588
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.
6345 S JONES BLVD STE 300, Las Vegas, NV 89118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy L Edgemon Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amy Edgemon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speakeasy Therapy Services, LLC
14 mi
Speech-Language Pathologist
7425 W AZURE DR STE 140
Las Vegas, NV 89130
  • Reassigned Medicare billing, Nevada enrollment
  • 33 clinicians in this Medicare group
NPI 1114315801 (702) 515-4009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

ALEXIS NICOLE NACHT
Occupational Therapist
6345 S JONES BLVD STE 300
LAS VEGAS, NV 89118
Clark County (702) 515-4009
MS. JANAE JUSTINE AUSTIN
Speech-Language Pathologist
6345 S JONES BLVD STE 300
LAS VEGAS, NV 89118
Clark County (702) 515-4009
YOKO MARAMAG
Speech-Language Pathologist
6345 S JONES BLVD STE 300
LAS VEGAS, NV 89118
Clark County (702) 515-7009
SARAH SALAZAR
Speech-Language Pathologist
6345 S JONES BLVD STE 300
LAS VEGAS, NV 89118
Clark County (702) 499-6638
ALEXANDER J JANTZ
Occupational Therapy Assistant
6345 S JONES BLVD STE 300
LAS VEGAS, NV 89118
Clark County (702) 515-4009
SONYA HAGBERG PT, DPT, CSCS
Physical Therapist
6345 S JONES BLVD STE 300
LAS VEGAS, NV 89118
Clark County (702) 515-4009
LEANNA LAI
Speech-Language Pathologist
6345 S JONES BLVD STE 300
LAS VEGAS, NV 89118
Clark County (702) 515-4009
KAILYN WADE WADE CF-SLP
Student in an Organized Health Care Education/Training Program
6345 S JONES BLVD STE 300
LAS VEGAS, NV 89118
Clark County (702) 515-4009

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 Amy Edgemon's NPI number?

The NPI number for Amy Edgemon is 1528633591. It was assigned to this individual provider in the NPPES registry on May 23, 2021.

Where is Amy Edgemon located?

Amy Edgemon practices at 6345 S Jones Blvd Ste 300, Las Vegas, NV 89118. The listed phone number is (702) 515-4009.

What is Amy Edgemon's specialty?

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

Is Amy Edgemon enrolled in Medicare?

Yes. Amy Edgemon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Edgemon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Edgemon reassigns Medicare benefits to Speakeasy Therapy Services, LLC (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Edgemon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Edgemon was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.