Individual provider Active NPI

Amanda Quaintance, AU.D

  • Audiologist
  • Newark, DE
National Provider Identifier
1154774503
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006477 Issued in 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
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006477 PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161013000790 PA Practitioner - Qualified Audiologist 7810285541 Reassigns benefits to 1 organization
I20170726000893 DE Practitioner - Qualified Audiologist 7810285541

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

639 Red Lion Rd
Huntingdon Valley, PA 19006-6216
Phone (502) 244-2420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Special Care Hearing of Pennsylvania, LLC Audiologist CurrentSince Jul 17, 2017 Accepting new patients
Special Care Hearing of Pennsylvania, LLC Audiologist CurrentSince Jul 17, 2017 Accepting new patients
Center City Hearing Audiologist PastSince Mar 10, 2019 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 128
Louisville, KY 40243

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

700 S Cayuga Ave
Altoona, PA 16602
Phone (814) 251-9765

639 Red Lion Rd
Huntingdon Vy, PA 19006

Interoperability endpoints

  • Direct secure messaging: amanda.maioriello.p10@direct.360care.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1154774503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S BROAD ST UNIT 2A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191465059",
            "telephone_number": "302-266-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD BLDG SUITEB4",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-266-2449",
            "fax_number": "302-266-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAINTANCE",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.