Individual provider Active NPI

Amy Lynn Arnett, M.S., CCC-A

  • Audiologist
  • Dallas, TX
National Provider Identifier
1174863104
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80448 Issued in TX
Practice address
17390 Preston Rd
Suite 320
Dallas, TX 75252-5795
Phone
(972) 733-3344
Fax
(972) 733-3852
NPI assigned
Feb 28, 2013
Last updated
Aug 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80448 TX Primary

Addresses

Primary practice location

17390 Preston Rd
Suite 320
Dallas, TX 75252-5795

Mailing address

2135 Thornbury LN
Allen, TX 75013-5368
Phone (972) 332-8918

Other identifiers 3

IdentifierTypeStateIssuer
09115371OtherAMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION
80448OtherTXTEXAS AUDIOLOGY LICENSE
336791OtherTXPTAN

Other names 1

  • Ms. Amy Lynn Tyner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
80448TXMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471651200000",
    "number": "1174863104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 THORNBURY LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135368",
            "telephone_number": "972-332-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17390 PRESTON RD",
            "address_2": "SUITE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525795",
            "telephone_number": "972-733-3344",
            "fax_number": "972-733-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNETT",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2016-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION",
            "identifier": "09115371",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS AUDIOLOGY LICENSE",
            "identifier": "80448",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "336791",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TYNER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "M.S., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.