Active NPI
Amy Katherine Rothermel, AU.D.
- Audiologist
- Virginia, MN
National Provider Identifier
1316006745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 518060
- Practice address
- 1101 9TH St N
Virginia, MN 55792-2329 - Phone
- (218) 741-0150
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | |||
| Assistive Technology Supplier Audiologist | 231HA2500X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | |||
| Audiologist | 231H00000X | 518060 | MN | Primary |
Addresses
Primary practice location
1101 9TH St N
Virginia, MN 55792-2329
Mailing address
SSB-6
400 E 3Rd St.
Duluth, MN 55805-8106
Phone (218) 786-8364
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1316006745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SSB-6",
"address_2": "400 E 3RD ST.",
"city": "DULUTH",
"state": "MN",
"postal_code": "558058106",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 9TH ST N",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "557922329",
"telephone_number": "218-741-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHERMEL",
"first_name": "AMY",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "518060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.