Individual provider Active NPI

Amber Landsman, AU.D.

  • Audiologist
  • Marshall, MN
National Provider Identifier
1093443038
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
528429 Issued in MN
Practice address
1424 E College Dr Ste 200
Marshall, MN 56258-2087
Phone
(507) 532-2687
NPI assigned
Aug 9, 2022
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 528429 MN Primary

Addresses

Primary practice location

1424 E College Dr Ste 200
Marshall, MN 56258-2087

Mailing address

1424 E College Dr Ste 200
Marshall, MN 56258-2087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025000748 MN Practitioner - Qualified Audiologist 0648646190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Sharyce Marie Audiology IncGroup PAC ID 4486976032, 2 clinicians

Practice addresses (Care Compare)

1424 E College Dr
Suite 200
Marshall, MN 56258-2087
Phone (507) 532-2687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sharyce Marie Audiology Inc Audiologist CurrentSince Sep 1, 2022 Accepting new patients

Locations

1424 E College Dr
Ste 200
Marshall, MN 56258
Phone (507) 532-2687

1567 McMillan St N
Ste 5
Worthington, MN 56187
Phone (507) 532-2687

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1093443038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 E COLLEGE DR STE 200",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 E COLLEGE DR STE 200",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582087",
            "telephone_number": "507-532-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSMAN",
        "first_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "528429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.