Individual provider Active NPI

Amber L Myers, M.A., CCC-A

  • Audiologist
  • Kokomo, IN
National Provider Identifier
1114120011
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002296A Issued in IN
Practice address
2350 S Dixon Rd Ste 415
Kokomo, IN 46902-6419
Phone
(317) 844-7059
Fax
(317) 819-0044
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002296A IN Primary

Addresses

Primary practice location

2350 S Dixon Rd Ste 415
Kokomo, IN 46902-6419

Mailing address

9002 N Meridian St Ste 222
Indianapolis, IN 46260-5350
Phone (317) 844-7059

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AMYERS@OA2046.SRS-DIRECT.COM Direct Otolaryngology Associates, LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000280 IN Practitioner - Qualified Audiologist 4688752207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology Associates LLCGroup PAC ID 7810931409, 45 clinicians

Practice addresses (Care Compare)

13100 E 136TH St
Suite 1200
Fishers, IN 46037-9418
Phone (317) 844-7059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
23002296AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Associates, LLC CurrentSince Apr 1, 2008 Accepting new patients

Locations

13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370

9002 N Meridian St
Ste 222
Indianapolis, IN 46260
Phone (317) 573-4370

2350 S Dixon Rd
Ste 415
Kokomo, IN 46902

Interoperability endpoints

  • Direct secure messaging: amyers@oa2046.srs-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1114120011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST STE 222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605350",
            "telephone_number": "317-844-7059",
            "fax_number": "317-819-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 S DIXON RD STE 415",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026419",
            "telephone_number": "317-844-7059",
            "fax_number": "317-819-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002296A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMYERS@OA2046.SRS-DIRECT.COM",
            "affiliation": "Y",
            "affiliationName": "Otolaryngology Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9002 North Meridian Street",
            "address_2": "Suite 222",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462605350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.