Amy Therese Packer, A.U.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

5706 Issued in MN

Practice address

2522 Maple Grove Rd.
Duluth, MN 55811

Phone

(218) 727-2333

Fax

(218) 724-3539

NPI assigned

Jun 12, 2009

Last updated

Jun 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Counihan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northland Hearing Centers, Inc.

  • Hearing and Speech Clinic/Center
  • Eden Prairie, MN
  • NPI 1225070667

  Audiologist

  NPD (past)
• Northland Hearing Centers, Inc.

  dba Sound Point Audiology

  • Hearing and Speech Clinic/Center
  • Coon Rapids, MN
  • NPI 1962787168
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1669609061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD.",
            "address_2": "STE. 300-N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155738",
            "telephone_number": "503-659-5115",
            "fax_number": "218-724-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 MAPLE GROVE RD.",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55811",
            "telephone_number": "218-727-2333",
            "fax_number": "218-724-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "AMY",
        "middle_name": "THERESE",
        "credential": "A.U.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "5706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "COUNIHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Owl Moon Mental Health
• Oxygen, Respiratory & Medical Equip, Inc (Diabetic and Comfort Shoes)
• P J Noss Corporation
• P.L. Lukovsky Chiropractic Clinic P.a. (Lukovsky Chiropractic Clinic)
• Miranda Pacheco
• Tracy Gallagher Pagliuca, RN, CNP
• Brittany June Paige, APRN, CNP
• Kathryn Palm, MA, CNP, PMHNP-BC
• Nathan Richard Palm, CRNA
• Kourtney Jean Palmi

• Audiologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.