Amanda Dove Connelly, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

01275 Issued in MD

Practice address

101 Clarke PL
Frederick, MD 21701

Phone

(301) 360-2087

Fax

(301) 360-1403

NPI assigned

Nov 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• State of Maryland

  dba Maryland School for the Deaf

  • Local Education Agency (LEA)
  • Frederick, MD
  • NPI 1053531376
  NPD (past)

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1750658126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 GREYSWOOD RD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132118",
            "telephone_number": "240-604-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLARKE PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-360-2087",
            "fax_number": "301-360-1403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8169 Old Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210437940",
            "country_code": "US",
            "telephone_number": "410-696-3049",
            "fax_number": "410-696-3088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "AMANDA",
        "middle_name": "DOVE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DC",
            "license": "AUD000075",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristin A Conley, DO
• Connect Incorporated (Connect Rehabilitation Services)
• Connelly Stewart Counseling, LLC
• Denise Marie Connelly, LCSW-C; CAC-AD
• Laura Connelly, OT
• Connie Wesley Lcmft LLC
• Nicholas Contardi, DPT
• Continuum Care Services

• Audiologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.