Individual provider Active NPI

Amanda E Bohn, AUD

  • Audiologist
  • Saint Peter, MN
National Provider Identifier
1376978874
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
9791 Issued in MN
Practice address
400 S 3Rd St
Saint Peter, MN 56082-2032
Phone
(507) 508-6951
Fax
(507) 512-1372
NPI assigned
Sep 4, 2013
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA851 AZ
Audiologist 231H00000X 9791 MN Primary
Audiologist-Hearing Aid Fitter 237600000X 9791 MN

Addresses

Primary practice location

400 S 3Rd St
Saint Peter, MN 56082-2032

Mailing address

400 S 3Rd St
Saint Peter, MN 56082-2032
Phone (507) 508-6951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103001484 MN Practitioner - Qualified Audiologist 1153555677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 S 3Rd St
Saint Peter, MN 56082-2032
Phone (507) 508-6951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA851AZMDAudiologist
9791MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Axe Audiology, LLC Audiologist-Hearing Aid Fitter CurrentSince Nov 1, 2021 Accepting new patients
Personal Hearing Care LLC Audiologist CurrentSince Jul 21, 2023 Accepting new patients

Locations

1700 Highway 36 W
Ste 125
Roseville, MN 55113
Phone (651) 746-0400

2550 University Ave W
Ste 135N
Saint Paul, MN 55114
Phone (651) 644-8993

393 Dunlap St N
Ste 115
Saint Paul, MN 55104
Phone (651) 646-2427

400 S 3rd St
Saint Peter, MN 56082
Phone (507) 508-6951

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1376978874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 3RD ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560822032",
            "telephone_number": "507-508-6951",
            "fax_number": "507-512-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 3RD ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560822032",
            "telephone_number": "507-508-6951",
            "fax_number": "507-512-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHN",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA851",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "9791",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "9791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.