Individual provider Active NPI

Amanda Beth Teuscher, AU.D.

  • Audiologist
  • Chicago, IL
National Provider Identifier
1639339195
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001211 Issued in IL
Practice address
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone
(773) 665-3184
NPI assigned
Jun 9, 2008
Last updated
Mar 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001211 IL Primary

Addresses

Primary practice location

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Mailing address

5694 N Ridge Ave Apt 3
Chicago, IL 60660-3888
Phone (773) 592-5081

Other practice location 1

800 Austin St Ste 363
Evanston, IL 60202-3454
Phone (773) 427-8114

Other practice location 2

151 N Michigan Ave
Suite 914
Chicago, IL 60601-7506
Phone (312) 938-4327

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
147001211ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jack D. Clemis, MD SC PastSince Jul 15, 2013 Accepting new patients
Northwestern Medical Faculty Foundation 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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1639339195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5694 N RIDGE AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603888",
            "telephone_number": "773-592-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Austin St Ste 363",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602023454",
            "country_code": "US",
            "telephone_number": "773-427-8114",
            "fax_number": "773-427-8116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 N Michigan Ave",
            "address_2": "Suite 914",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017506",
            "country_code": "US",
            "telephone_number": "312-938-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEUSCHER",
        "first_name": "AMANDA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.