Amanda Casillo, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

DA10971 Issued in AZ

Practice address

2222 E Highland Ave Ste 204
Phoenix, AZ 85016-4876

Phone

(602) 264-4834

Fax

(602) 254-5178

NPI assigned

Apr 24, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1760917066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164876",
            "telephone_number": "602-476-5008",
            "fax_number": "602-257-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164876",
            "telephone_number": "602-264-4834",
            "fax_number": "602-254-5178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6826 Plum Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791241601",
            "country_code": "US",
            "telephone_number": "806-355-9999",
            "fax_number": "806-355-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASILLO",
        "first_name": "AMANDA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80781",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA10971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DA10971",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael P Caskey, MD
• Jessica Casler

• Audiologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.