Andrea Suzette Page, AUD
Individual provider Active NPI Audiologist · Logan, UT
NPI 1114455334 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1114455334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 6410 Old Main HL
Logan, UT 84322-8704 - Phone
- (435) 797-1374
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- University of Utah School of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Utah State University
Practice addresses (Care Compare)
6410 Old Main HL
Logan, UT 84322-6410
Phone (435) 797-1346
687 N 300
Tremonton, UT 84337-1111
Phone (385) 275-4919
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201216001813 | UT | Practitioner - Qualified Audiologist | 0446528020 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (6 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Utah State University | Audiologist | Current |
Accepting new patients |
| Utah State University | Current |
Accepting new patients | |
| Bear River Hearing Center LLC | Current |
Accepting new patients | |
| Usu Student Health & Wellness | Past | Accepting new patients |
Locations
165 N University Ave
Farmington, UT 84025
Phone (801) 213-3200
6410 Old Main Hl
Logan, UT 84322
Phone (435) 797-1346
6802 Old Main Hl
Logan, UT 84322
Phone (435) 797-1346
6405 Old Main Hl
Logan, UT 84322
Phone (435) 797-3403
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Networks
- UT PPO D-SNP
- UT PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Yes |
Addresses
Primary practice location
6410 Old Main HL
Logan, UT 84322-8704
Mailing address
6410 Old Main HL
Logan, UT 84322-6410
Phone (435) 797-1374
Other practice location 1
900 N Liberty St
Boise, ID 83704-8704
Phone (208) 367-7429
Other practice location 2
4424 E Flamingo Ave Ste 320
Nampa, ID 83687-9306
Phone (208) 498-0340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AUD-3188 | Other | ID | IDAHO STATE |
Other names
- Miss Andrea Suzette Deakin
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | andrea.page@usu.edu | Utah State University Speech Language and Hearing |
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.