Active NPI
Amanda L. Lopez, AUD
- Audiologist
- Albuquerque, NM
National Provider Identifier
1750516837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80350
- Practice address
- 7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586 - Phone
- (055) 872-4327
- Fax
- (505) 872-1041
- NPI assigned
- May 19, 2009
- Last updated
- Oct 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80350 | TX | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X |
Addresses
Primary practice location
7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586
Mailing address
7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586
Phone (055) 872-4327
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80350 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GN Consumer Hearing Corporation | Audiologist | Current | Accepting new patients |
| CGN Epent | Past | Accepting new patients | |
| El Paso Ear Nose & Throat Associates | Past | Accepting new patients |
Organizations & group practices 3
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.
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- El Paso, TX
- NPI 1053919308
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- El Paso, TX
- NPI 1083646053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603497600000",
"number": "1750516837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091586",
"telephone_number": "055-872-4327",
"fax_number": "505-872-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091586",
"telephone_number": "055-872-4327",
"fax_number": "505-872-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "AMANDA",
"middle_name": "L.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2020-10-24",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80350",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.