Amanda J Gill, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2774 Issued in MN

Practice address

13750 Crosstown Dr NW Ste 107
Andover, MN 55304-5855

Phone

(612) 255-1175

Fax

(612) 255-1176

NPI assigned

Jan 25, 2016

Last updated

Dec 21, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Hearing Center of Andover LLC

  • Hearing Aid Equipment
  • Andover, MN
  • NPI 1225899354
  NPD Authorized official
• Family Hearing Solutions

  • Hearing Instrument Specialist
  • Andover, MN
  • NPI 1023773223
  NPD

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1700243524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15909 DUNKIRK ST NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553045835",
            "telephone_number": "763-232-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 CROSSTOWN DR NW STE 107",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553045855",
            "telephone_number": "612-255-1175",
            "fax_number": "612-255-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2021-12-21",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ganser, M.S. CCC-SLP
• Erin Maureen Gates, M.A., L.M.F.T.
• Deborah Lynn Gerdes, PSY.D.
• John W Gfrerer, MD
• Sugar Marie Gilbert, HID
• Zack D Gill
• Golden Path Home Care Services LLC
• Goodrich Pharmacy Inc (Goodrich Pharmacy Andover)
• Areen Mahrya Goraya, MD
• Jennie Marie Graff-Dolezal, M.S. LMFT

• Hearing Instrument Specialist in Andover, MN
• Providers in Andover, MN by specialty
• Hearing Instrument Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.