Individual provider Active NPI

Jamie L Landau, AU.D.

  • Audiologist
  • Tucson, AZ
National Provider Identifier
1679799092
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA6702 Issued in AZ
Practice address
6340 N Campbell Ave Ste 256
Tucson, AZ 85718-3186
Phone
(520) 775-3333
Fax
(520) 775-3334
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2259 CA
Audiologist 231H00000X DA6702 AZ Primary

Addresses

Primary practice location

6340 N Campbell Ave Ste 256
Tucson, AZ 85718-3186

Mailing address

PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 775-3333

Other practice location 1

2506 E Vistoso Commerce Loop Ste 180
Oro Valley, AZ 85755-9114
Phone (520) 447-8400

Other identifiers 1

IdentifierTypeStateIssuer
AU2259OtherCASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101001525 AZ Practitioner - Qualified Audiologist 4082808258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Ear Nose and ThroatGroup PAC ID 1951626472, 14 clinicians

Practice addresses (Care Compare)

10445 N Oracle Rd
Suite 121
Oro Valley, AZ 85737-9359
Phone (520) 783-8803

2506 E Vistoso Commerce Loop
Suite 180
Oro Valley, AZ 85755-9114
Phone (520) 447-8400

3320 N Campbell Ave
Suite 150
Tucson, AZ 85719-2398
Phone (520) 775-3333

7650 E Broadway Blvd
Suite 109
Tucson, AZ 85710-3772
Phone (520) 600-7970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2259CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Ear Nose and Throat CurrentSince Jan 13, 2020 Accepting new patients
Valley ENT, PC Past Accepting new patients

Locations

2506 E Vistoso Commerce Loop
Ste 180
Oro Valley, AZ 85755
Phone (520) 447-8400

1521 E Tangerine Rd
Ste 331
Oro Valley, AZ 85755
Phone (520) 276-2033

7650 E Broadway Blvd
Ste 109
Tucson, AZ 85710
Phone (520) 600-7970

3320 N Campbell Ave
Ste 150
Tucson, AZ 85719
Phone (520) 775-3333

6340 N Campbell Ave
Ste 256
Tucson, AZ 85718
Phone (520) 441-9733

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1679799092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160",
            "telephone_number": "520-775-3333",
            "fax_number": "520-775-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 N CAMPBELL AVE STE 256",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183186",
            "telephone_number": "520-775-3333",
            "fax_number": "520-775-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2506 E Vistoso Commerce Loop Ste 180",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857559114",
            "country_code": "US",
            "telephone_number": "520-447-8400",
            "fax_number": "520-989-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2259",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA6702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AU2259",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.