Stephanie Leigh Adamovich, PH.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

DA7605 Issued in AZ

Practice address

Arizona State University Speech and
975 S. Myrtle Ave
Tempe, AZ 85287-0001

Phone

(480) 965-2373

Fax

(480) 965-0076

NPI assigned

Dec 5, 2007

Last updated

Apr 13, 2020By 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

• Stephanie Leigh Wixom Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona State UniversityGroup PAC ID 7012997976, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Arizona State University

  • Audiologist
  • Tempe, AZ
  • NPI 1952338865
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1255513818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD",
            "address_2": "STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064673",
            "telephone_number": "480-965-2373",
            "fax_number": "480-965-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARIZONA STATE UNIVERSITY SPEECH AND",
            "address_2": "975 S. MYRTLE AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852870001",
            "telephone_number": "480-965-2373",
            "fax_number": "480-965-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMOVICH",
        "first_name": "STEPHANIE",
        "middle_name": "LEIGH",
        "credential": "PH.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA7605",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA7605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WIXOM",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.