Individual provider Active NPI

Amanda N Fitzsimmons, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Scottsdale, AZ
National Provider Identifier
1487212775
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
1625 N 87TH St
Scottsdale, AZ 85257-2922
Phone
(480) 429-0026
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

1625 N 87TH St
Scottsdale, AZ 85257-2922

Mailing address

1625 N 87TH St
Scottsdale, AZ 85257-2922
Phone (480) 429-0026

Other practice location 1

8144 E Cactus Rd Ste 810
Scottsdale, AZ 85260-5266
Phone (480) 429-0026

Other practice location 2

5202 E Main St Ste 105
Mesa, AZ 85205-8065
Phone (480) 218-1328

Other names 1

  • Amanda N Blackburn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191121002969 AZ Practitioner - Qualified Audiologist 4385076876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adam Dipuccio LLCGroup PAC ID 7719953546, 7 clinicians

Practice addresses (Care Compare)

5202 E Main St
Suite 105
Mesa, AZ 85205-8065
Phone (480) 218-1328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Dipuccio LLC Past Accepting new patients

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1487212775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N 87TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572922",
            "telephone_number": "480-429-0026",
            "fax_number": "480-429-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N 87TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572922",
            "telephone_number": "480-429-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8144 E Cactus Rd Ste 810",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852605266",
            "country_code": "US",
            "telephone_number": "480-429-0026",
            "fax_number": "480-429-0028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5202 E Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852058065",
            "country_code": "US",
            "telephone_number": "480-218-1328",
            "fax_number": "480-218-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "AMANDA",
        "middle_name": "N",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BLACKBURN",
            "middle_name": "N",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.