Individual provider Active NPI

Amanda Star, AU.D.

  • Audiologist
  • Springdale, AR
National Provider Identifier
1124877360
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
6823 Isaacs Orchard Rd
Springdale, AR 72762-6096
Phone
(479) 750-2080
NPI assigned
May 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

6823 Isaacs Orchard Rd
Springdale, AR 72762-6096

Mailing address

34807 N 32ND Dr Apt 2043
Phoenix, AZ 85086-4014
Phone (386) 337-2258

Other practice location 1

3730 S Pinnacle Hills Pkwy Ste 1
Rogers, AR 72758-8897
Phone (479) 750-2080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827003288 AR Practitioner - Qualified Audiologist 5193264786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manning,Johnson & Spencer, PA CurrentSince Aug 1, 2024 Accepting new patients

Locations

3730 S Pinnacle Hills Pkwy
Ste 1
Rogers, AR 72758
Phone (479) 750-2080

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.

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manning,Johnson and Spencer, PA 10 clinicians

Practice addresses (Care Compare)

6823 Isaac'S Orchard Rd
Springdale, AR 72762-6096
Phone (479) 750-2080

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1124877360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34807 N 32ND DR APT 2043",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850864014",
            "telephone_number": "386-337-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 ISAACS ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626096",
            "telephone_number": "479-750-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3730 S Pinnacle Hills Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588897",
            "country_code": "US",
            "telephone_number": "479-750-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAR",
        "first_name": "AMANDA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.