Individual provider Active NPI

Amy Stevenson, M.A., CCC-A

  • Audiologist
  • Hixson, TN
National Provider Identifier
1447424478
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0000001159 Issued in TN
Practice address
1724 Hamill Rd
Oasis Park Building I, Suite 102
Hixson, TN 37343-4905
Phone
(423) 209-9111
Fax
(423) 209-9106
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0000001159 TN Primary

Addresses

Primary practice location

1724 Hamill Rd
Oasis Park Building I, Suite 102
Hixson, TN 37343-4905

Mailing address

1724 Hamill Rd
Oasis Park Building I, Suite 102
Hixson, TN 37343-4905
Phone (423) 209-9111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000499 TN Practitioner - Qualified Audiologist 8921166877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1159TNMDDiagnostic Radiology Physician
0000001159TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Audiologist CurrentSince Jan 12, 2021 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jan 12, 2021 Accepting new patients

Locations

1651 Gunbarrel Rd
Ste 101A
Chattanooga, TN 37421
Phone (423) 899-9133

2290 Ogletree Ave
Ste 108
Chattanooga, TN 37421

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1724 Hamill Rd
Ste 102
Hixson, TN 37343

1724 Hamill Rd
Ste 204
Hixson, TN 37343
Phone (423) 877-4705

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: amy.stevenson@ahp.eclinicaldirectplus.com

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1447424478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD",
            "address_2": "OASIS PARK BUILDING I, SUITE 102",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434905",
            "telephone_number": "423-209-9111",
            "fax_number": "423-209-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD",
            "address_2": "OASIS PARK BUILDING I, SUITE 102",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434905",
            "telephone_number": "423-209-9111",
            "fax_number": "423-209-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "AMY",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "0000001159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.