Amanda Lynne Villarruel
NPI 1730640061ActiveIndividual· Speech-Language Pathologist· St. George, UT
Speech-Language Pathologist in St. George, Utah, licensed in UT, with an NPI issued in March 2019. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1730640061 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 28, 2019 |
| Last updated in NPPES | Jul 1, 2024 |
| Certified by provider | Jul 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 12605321-4102 | UT |
| Specialist/Technologist, Speech-Language Assistant | 2355S0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (OR) |
|---|
Other Speech-Language Pathologist providers in St. George
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