Andrea Suzette Page, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

6410 Old Main HL
Logan, UT 84322-8704

Phone

(435) 797-1374

NPI assigned

Jun 1, 2017

Last updated

Jul 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Andrea Suzette Deakin Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Utah School of Medicine, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Utah State UniversityGroup PAC ID 3476715491, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

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.

• Bear River Hearing Center LLC

  • Hearing and Speech Clinic/Center
  • Tremonton, UT
  • NPI 1306731328
  Medicare reassignment NPD Authorized official
• Utah State University

  • Audiologist
  • Logan, UT
  • NPI 1235374984
  Medicare reassignment Care Compare group NPD
• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  Medicare reassignment NPD
• University of Utah Adult Services

  dba University of Utah Hospital Radiology Department

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1598169419
  NPD
• Utah State University

  dba Sorenson Legacy Foundation Center for Clinical Excellence

  • Specialist
  • Logan, UT
  • NPI 1447715701
  NPD
• Usu Student Health & Wellness

  • Health Service Clinic/Center
  • Logan, UT
  • NPI 1992170443
  NPD (past)

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1114455334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843226410",
            "telephone_number": "435-797-1374",
            "fax_number": "844-308-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843228704",
            "telephone_number": "435-797-1374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Liberty St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048704",
            "country_code": "US",
            "telephone_number": "208-367-7429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4424 E Flamingo Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836879306",
            "country_code": "US",
            "telephone_number": "208-498-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "ANDREA",
        "middle_name": "SUZETTE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "andrea.page@usu.edu",
            "affiliation": "Y",
            "affiliationName": "Utah State University Speech Language and Hearing",
            "address_1": "6410 Old Main Hl",
            "city": "Logan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843228704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DEAKIN",
            "middle_name": "SUZETTE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rudolf Otrusinik, MD
• Benjamin Owens, OTR/L
• Krystopher B Oyler, LCSW
• Craig D Pabst, MD
• Emilee Packer, SLP
• Richard B Palfreyman, M.D.
• Rhea Palkhiwala, BCBA
• Lela C Palmer
• Sabrina Pantaleon
• Roland Raoul Parent

• Audiologist in Logan, UT
• Providers in Logan, UT by specialty
• Audiologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.