Active NPI
Amanda Shepard
- Audiologist
- Norwalk, CT
National Provider Identifier
1417447996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 607
- Practice address
- 761 Main Ave Ste 101
Norwalk, CT 06851-1080 - Phone
- (203) 845-2244
- NPI assigned
- May 10, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 607 | CT | Primary |
Addresses
Primary practice location
761 Main Ave Ste 101
Norwalk, CT 06851-1080
Mailing address
761 Main Ave Ste 101
Norwalk, CT 06851-1080
Phone (203) 845-2244
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": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1417447996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 MAIN AVE STE 101",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-845-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 MAIN AVE STE 101",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-845-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.