Individual provider Active NPI

Amanda Lauren Pace, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Metairie, LA
National Provider Identifier
1710471297
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
8112 Issued in LA
Practice address
3434 Houma Blvd Ste 201
Metairie, LA 70006-4278
Phone
(504) 454-3277
Fax
(504) 887-8934
NPI assigned
Jun 19, 2018
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 8112 LA Primary

Addresses

Primary practice location

3434 Houma Blvd Ste 201
Metairie, LA 70006-4278

Mailing address

4770 S I 10 Service Rd W Ste 110
Metairie, LA 70001-1224
Phone (504) 454-3277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025000632 LA Practitioner - Qualified Audiologist 6507119344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Hickham and Associates a.P.M.C.Group PAC ID 2961444872, 3 clinicians

Practice addresses (Care Compare)

3019 N Arnoult Rd
ENT Specialists of Metairie
Metairie, LA 70002-4714
Phone (504) 889-5335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hickham ENT LLC CurrentSince Jun 9, 2024 Accepting new patients
Dr. Hickham and Associates a.P.M.C. CurrentSince Mar 11, 2019 Accepting new patients

Locations

3019 N Arnoult Rd
Metairie, LA 70002
Phone (504) 889-5335

3019 N Arnoult Rd
#M
Metairie, LA 70002
Phone (504) 889-5335

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1710471297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 S I 10 SERVICE RD W STE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011224",
            "telephone_number": "504-454-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 HOUMA BLVD STE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064278",
            "telephone_number": "504-454-3277",
            "fax_number": "504-887-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "AMANDA",
        "middle_name": "LAUREN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "8112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.