Active NPI
Amy Engler Booth, MA CCCA FAAA
- Audiologist
- Orono, ME
National Provider Identifier
1508925629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AP940
- Practice address
- 5724 Dunn Hall
Room 336 University of Maine
Orono, ME 04469-5724 - Phone
- (207) 581-2011
- Fax
- (207) 581-2060
- NPI assigned
- Dec 6, 2006
- 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 | AP940 | ME | Primary |
Addresses
Primary practice location
5724 Dunn Hall
Room 336 University of Maine
Orono, ME 04469-5724
Mailing address
5724 Dunn Hall
Room 336 University of Maine
Orono, ME 04469-5724
Phone (207) 581-2011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028000 | Other | ME | ANTHEM BCBS |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP940 | ME | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maine | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Orono, ME
- NPI 1295921922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508925629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5724 DUNN HALL",
"address_2": "ROOM 336 UNIVERSITY OF MAINE",
"city": "ORONO",
"state": "ME",
"postal_code": "044695724",
"telephone_number": "207-581-2011",
"fax_number": "207-581-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5724 DUNN HALL",
"address_2": "ROOM 336 UNIVERSITY OF MAINE",
"city": "ORONO",
"state": "ME",
"postal_code": "044695724",
"telephone_number": "207-581-2011",
"fax_number": "207-581-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "AMY",
"middle_name": "ENGLER",
"name_prefix": "Ms.",
"credential": "MA CCCA FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ME",
"license": "AP940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "028000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orono, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.