Amanda Jean Wand, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147001597 Issued in IL

Practice address

731 Maine St
Quincy, IL 62301-4012

Phone

(217) 223-0204

Fax

(217) 223-0274

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Quincy Audiology, LLC

  • Audiologist
  • Quincy, IL
  • NPI 1790043982
  Medicare reassignment NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1376996769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014012",
            "telephone_number": "217-223-0204",
            "fax_number": "217-223-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014012",
            "telephone_number": "217-223-0204",
            "fax_number": "217-223-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAND",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Scott Walker, DNP, APRN, CNP
• Morgan Walker, LPN
• Ernest Wallace, MD
• Mindy Lee Wallace, RD LDN
• Walmart Inc.
• Katy Marie Wand, MD
• Katie Kaimeng Wang, MD
• Kevin Wang, DO
• Steve C Wang, DO
• Megan K Wardlow, M.A., CCC-SLP

• Audiologist in Quincy, IL
• Providers in Quincy, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.