Amanda D Leddige, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1262 Issued in ND

Practice address

4900 Ottawa St Ste 300
Bismarck, ND 58503-6156

Phone

(701) 751-6232

Fax

(701) 751-6235

NPI assigned

May 30, 2013

Last updated

Feb 1, 2022By 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 2

Addresses

Other names 1

• Amanda D Boutilier Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Colorado School of Medicine, Denver, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Center for HearingGroup PAC ID 3173922010, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alliance Center for Hearing

  • Audiologist
  • Bismarck, ND
  • NPI 1710568597
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1164869277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BREMNER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585033001",
            "telephone_number": "701-751-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OTTAWA ST STE 300",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036156",
            "telephone_number": "701-751-6232",
            "fax_number": "701-751-6235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 E Broadway Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014451",
            "country_code": "US",
            "telephone_number": "701-323-8921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDDIGE",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ND",
            "license": "1262",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ND",
            "license": "H-0318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BOUTILIER",
            "middle_name": "D",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joann Marie Leahy, MD
• Michael E Lebeau, MD
• Ron Lebeau
• Courtney Leben-Perez
• Matthew Leblanc, OTR/L
• Charnelle V Ledoux
• Andrea Lee, LBSW
• Joon Kyu Lee, M.D.
• Korey Lee
• Tim J Leer

• Audiologist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Audiologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.