Amber Alexis Gidley Berg, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT006783 Issued in PA

Practice address

307 S 13TH St FL 3
Mount Vernon, WA 98274-4100

Phone

(360) 848-8500

Fax

(360) 419-7823

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1619642253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 13TH ST FL 3",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744100",
            "telephone_number": "360-848-8500",
            "fax_number": "360-419-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 13TH ST FL 3",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744100",
            "telephone_number": "360-848-8500",
            "fax_number": "360-419-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDLEY BERG",
        "first_name": "AMBER",
        "middle_name": "ALEXIS",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.va.gov",
            "affiliation": "N",
            "address_1": "307 S 13th St Fl 3",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982744100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lynnette L Gerhard, ARNP
• Richard Louis Gerlach, PA-C
• Sarah Marie Gerspacher, PT
• Parampreet Singh Ghuman, MD
• Carrie Ann Gibson, RN
• Verena Maria Giebels, LMP
• Judy Gilbert, RN
• Karen A. Gilbert, ARNP
• Kimberly Gilmore, ND
• Cyrena Gilpatrick, LM, CPM, MSM

• Audiologist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.