Individual provider Active NPI

Angela D. Whittaker, AUD

  • Audiologist
  • Reno, NV
National Provider Identifier
1619981412
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-174 Issued in NV
Practice address
6490 S McCarran Blvd Ste 29
Reno, NV 89509-6124
Phone
(775) 561-4327
Fax
(775) 686-6160
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-174 NV Primary
Audiologist-Hearing Aid Fitter 237600000X A-174 NV

Addresses

Primary practice location

6490 S McCarran Blvd Ste 29
Reno, NV 89509-6124

Mailing address

6490 S McCarran Blvd Ste 29
Reno, NV 89509-6124
Phone (775) 561-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000574 NV Practitioner - Qualified Audiologist 6103881966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Whittaker Audiology and Hearing AIDS, LLC Audiologist CurrentSince Aug 4, 2024 Accepting new patients

Locations

6490 S McCarran Blvd
Ste 29
Reno, NV 89509
Phone (775) 323-1667

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1619981412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 S MCCARRAN BLVD STE 29",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096124",
            "telephone_number": "775-561-4327",
            "fax_number": "775-686-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S MCCARRAN BLVD STE 29",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096124",
            "telephone_number": "775-561-4327",
            "fax_number": "775-686-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "ANGELA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-174",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NV",
            "license": "A-174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.