Individual provider Active NPI

Amanda Miller Pratt, AU.D

  • Audiologist
  • Draper, UT
National Provider Identifier
1457039315
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
13460528-4101 Issued in UT
Practice address
756 E 12200 S
Draper, UT 84020-9724
Phone
(801) 804-5000
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 13460528-4101 UT Primary

Addresses

Primary practice location

756 E 12200 S
Draper, UT 84020-9724

Mailing address

4374 S Main St Unit 410
Murray, UT 84107-3371
Phone (385) 297-1045

Other practice location 1

22 S 900 E
Salt Lake City, UT 84102-1307
Phone (801) 804-5000

Other practice location 2

4400 S 700 E Ste 240
Millcreek, UT 84107-3399
Phone (801) 804-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101002401 UT Practitioner - Qualified Audiologist 8527414226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Ear Nose and Throat Specialists LLCGroup PAC ID 8022901610, 25 clinicians

Practice addresses (Care Compare)

756 E 12200
Draper, UT 84020-9724
Phone (801) 328-2522

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as apm
Quality
80.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Ear,Nose, and Throat Specialists LLC CurrentSince Sep 9, 2023 Accepting new patients

Locations

756 E 12200 S
Draper, UT 84020
Phone (801) 833-0579

3738 S 900 E
Salt Lake Cty, UT 84106
Phone (801) 313-1955

4400 S 7th E
Ste 240
Salt Lake Cty, UT 84107
Phone (801) 264-4464

22 S 9th E
Slc, UT 84102
Phone (801) 328-7522

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1457039315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 S MAIN ST UNIT 410",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073371",
            "telephone_number": "385-297-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 E 12200 S",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209724",
            "telephone_number": "801-804-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S 900 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841021307",
            "country_code": "US",
            "telephone_number": "801-804-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 S 700 E Ste 240",
            "address_purpose": "LOCATION",
            "city": "Millcreek",
            "state": "UT",
            "postal_code": "841073399",
            "country_code": "US",
            "telephone_number": "801-804-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "AMANDA",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "13460528-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.