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Deactivated NPI 1225089485 Deactivated / Inactive NPI Female Practitioner

Amanda Wilson Scanlon , MS CCCSLP

Speech-Language Pathologist • Roanoke Rapids, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amanda Scanlon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 13, 2006
NPI Deactivation Date October 27, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Amanda Scanlon, MS CCCSLP was a registered Speech-Language Pathologist practicing in Roanoke Rapids, NC. Throughout an active medical career spanning 15 years, Amanda Scanlon provided care at the practice location at 719 JACKSON ST until profile deactivation on 2021-10-27.

Practice Location & Contact Primary Location

Practice Address

719 Jackson St

Roanoke Rapids, NC 278702605

Telephone 2525355712
Fax 2525355712

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Roanoke Rapids, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Roanoke Rapids, NC (7242 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NC 3757

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 27, 2021

Record deactivated on October 27, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 719 JACKSON ST, ROANOKE RAPIDS, NC 278702605 (Tel: 2525355712)

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Updated Business Mailing Address July 09, 2007

Registered at 719 JACKSON ST, ROANOKE RAPIDS, NC 278702605 (Tel: 2525355712)

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Provider Name / Credentials Updated July 09, 2007

Recorded as AMANDA SCANLON, MS CCCSLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #3757 in NC)

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Initial NPI Registration & Enumeration May 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225089485
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2006
Last Update: July 09, 2007
Deactivation Date: October 27, 2021

Mailing Address

719 Jackson St

Roanoke Rapids, NC 278702605

Phone: 2525355712

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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