Amanda Quaintance, AU.D
Individual provider Active NPI Audiologist · Newark, DE
NPI 1154774503 · NPPES record last updated Jun 17, 2022
Key facts
- NPI
- 1154774503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AT006477 (PA)
- Practice address
- 774 Christiana Rd BLDG Suiteb4
Newark, DE 19713-4236 - Phone
- (302) 266-2449
- Fax
- (302) 266-2450
- NPI assigned
- Jul 21, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Special Care Hearing of Pennsylvania, LLC
Practice addresses (Care Compare)
639 Red Lion Rd
Huntingdon Valley, PA 19006-6216
Phone (502) 244-2420
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161013000790 | PA | Practitioner - Qualified Audiologist | 7810285541 | Reassigns benefits to 1 organization |
| I20170726000893 | DE | Practitioner - Qualified Audiologist | 7810285541 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Care Hearing of Pennsylvania, LLC | Audiologist | Current |
Accepting new patients |
| Special Care Hearing of Pennsylvania, LLC | Audiologist | Current |
Accepting new patients |
| Center City Hearing | Audiologist | Past |
Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
12910 Shelbyville Rd
Ste 128
Louisville, KY 40243
700 S Cayuga Ave
Altoona, PA 16602
Phone (814) 251-9765
639 Red Lion Rd
Huntingdon Vy, PA 19006
Interoperability endpoints
- amanda.maioriello.p10@direct.360care.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006477 | PA | Yes |
Addresses
Primary practice location
774 Christiana Rd BLDG Suiteb4
Newark, DE 19713-4236
Mailing address
1100 S Broad St Unit 2a
Philadelphia, PA 19146-5059
Phone (302) 266-2449
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2022. 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.