Individual provider Active NPI

Amy L Charrier, AU.D

  • Audiologist
  • Tampa, FL
National Provider Identifier
1215083027
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1121 Issued in FL
Practice address
15310 Amberly Dr Ste 170
Tampa, FL 33647-1640
Phone
(813) 374-3036
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1121 FL Primary

Addresses

Primary practice location

15310 Amberly Dr Ste 170
Tampa, FL 33647-1640

Mailing address

15310 Amberly Dr Ste 170
Tampa, FL 33647-1640
Phone (813) 374-3036

Other identifiers 1

IdentifierTypeStateIssuer
CA4487OtherFLRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080711000244 FL Practitioner - Qualified Audiologist 7315019023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pennsylvania College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Hearing Group LLCGroup PAC ID 8325413677, 8 clinicians

Practice addresses (Care Compare)

15310 Amberly Dr
Suite 170
Tampa, FL 33647-1640
Phone (813) 374-3036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Hearing Group LLC Audiologist CurrentSince Mar 1, 2023 Accepting new patients

Locations

6906 W Linebaugh Ave
Ste 101
Tampa, FL 33625
Phone (813) 962-1888

15310 Amberly Dr
Ste 170
Tampa, FL 33647
Phone (813) 374-3036

149 Plantation Ridge Dr
Ste 140
Mooresville, NC 28117

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1215083027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15310 AMBERLY DR STE 170",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471640",
            "telephone_number": "813-374-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15310 AMBERLY DR STE 170",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471640",
            "telephone_number": "813-374-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARRIER",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA4487",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.