Individual provider Active NPI

Amy Geyer Doezema, M.S., CCC-A

  • Audiologist
  • Louisville, KY
National Provider Identifier
1609494038
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
101743 Issued in KY
Practice address
725 Speckman Rd
Louisville, KY 40243-1876
Phone
(502) 528-3741
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 101743 KY Primary

Addresses

Primary practice location

725 Speckman Rd
Louisville, KY 40243-1876

Mailing address

725 Speckman Rd
Louisville, KY 40243-1876
Phone (502) 528-3741

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amy@eastpointaudiology.com Health Information Exchange (HIE)
Direct Messaging Address amy@eastpointaudiology.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811002938 KY Practitioner - Qualified Audiologist 1153747985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Eastpoint Audiology, LLCGroup PAC ID 4284060849, 4 clinicians

Practice addresses (Care Compare)

731 Speckman Rd
Louisville, KY 40243-1876
Phone (502) 528-3741

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastpoint Audiology, LLC Audiologist CurrentSince May 4, 2020 Accepting new patients

Locations

731 Speckman Rd
Louisville, KY 40243
Phone (502) 528-3741

725 Speckman Rd
Louisville, KY 40243
Phone (502) 215-3860

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1609494038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SPECKMAN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431876",
            "telephone_number": "502-528-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SPECKMAN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431876",
            "telephone_number": "502-528-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEZEMA",
        "first_name": "AMY",
        "middle_name": "GEYER",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "101743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@eastpointaudiology.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "725 Speckman Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402431876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@eastpointaudiology.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "725 Speckman Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402431876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.