Active NPI
Amber Nettles, AU.D.
- Audiologist
- Conway, AR
National Provider Identifier
1689803066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 1520 E Dave Ward Dr
Conway, AR 72032-9649 - Phone
- (015) 548-0598
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
1520 E Dave Ward Dr
Conway, AR 72032-9649
Mailing address
2200 Fort Roots Dr
North Little Rock, AR 72114-1709
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1689803066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 FORT ROOTS DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721141709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 E DAVE WARD DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720329649",
"telephone_number": "015-548-0598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETTLES",
"first_name": "AMBER",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.