Amanda Ruth Nielsen, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

030867 Issued in OR

Practice address

2500 NE 65TH Ave
Vancouver, WA 98661-6812

Phone

(360) 952-3535

NPI assigned

Nov 16, 2016

Last updated

May 26, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Educational Service District 112

  • Local Education Agency (LEA)
  • Vancouver, WA
  • NPI 1669628293
  NPD (past)

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1295277622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14753 SW CATALINA DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972230680",
            "telephone_number": "503-869-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE 65TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616812",
            "telephone_number": "360-952-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "AMANDA",
        "middle_name": "RUTH",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "030867",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "030867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Anthony Nicolin, SUDP
• Adrienne L Nicoll, R.N., B.S.N.
• Ricky Anthony Nicoski, MD
• Amber R Nicotra, RDH
• Sandy Niehm, FNP
• Melonie Nielsen, LMP
• Dolcie Niemi, B.S.
• Karis Niemi, RN, PNP
• Dani Barrett Nierenberg, PHD
• Nightingale Counseling Services

• Audiologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.