Individual provider Active NPI

Amanda Marie Parker, AU.D.

  • Audiologist
  • Lithia, FL
National Provider Identifier
1063466092
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1311 Issued in FL
Practice address
5408 Sanderling Ridge Dr
Lithia, FL 33547-3996
Phone
(813) 326-4804
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1311 FL Primary

Addresses

Primary practice location

5408 Sanderling Ridge Dr
Lithia, FL 33547-3996

Mailing address

5408 Sanderling Ridge Dr
Lithia, FL 33547-3996
Phone (813) 326-4804

Other names 1

  • Amanda Weaver Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060928000554 FL Practitioner - Qualified Audiologist 1951306794 Reassigns benefits to 1 organization
I20260408003332 AL Practitioner - Qualified Audiologist 1951306794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2350
Phone (561) 391-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1311FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Associates PA CurrentSince Apr 1, 2025 Accepting new patients

Locations

3390 Tamiami Trl
Ste 201
Pt Charlotte, FL 33952
Phone (816) 507-2741

2300 Loveland Blvd
Unit 2
Punta Gorda, FL 33980
Phone (941) 307-3124

2300 Loveland Blvd
Punta Gorda, FL 33980
Phone (941) 629-4500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1063466092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 SANDERLING RIDGE DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473996",
            "telephone_number": "813-326-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 SANDERLING RIDGE DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473996",
            "telephone_number": "813-326-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WEAVER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lithia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.