Amber N Cichon, AUD
Individual provider Active NPI Audiologist · Columbia, MO
NPI 1104274844 · NPPES record last updated Jun 2, 2016
Key facts
- NPI
- 1104274844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 525 N Keene St Ste 201
Columbia, MO 65201-6967 - Phone
- (573) 882-4327
- NPI assigned
- Jun 2, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160804000619 | MO | Practitioner - Qualified Audiologist | 5991099582 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Curators of the University of Missouri | Current |
Accepting new patients | |
| Curators of the University of Missouri | Current |
Accepting new patients |
Locations
525 N Keene St
Columbia, MO 65201
Phone (573) 882-7903
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
525 N Keene St
Ste 201
Columbia, MO 65201
Phone (573) 882-4327
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Yes |
Addresses
Primary practice location
525 N Keene St Ste 201
Columbia, MO 65201-6967
Mailing address
525 N Keene St Ste 201
Columbia, MO 65201-6967
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.