Individual provider Active NPI

Amanda Ottochian-Tripp, AU.D.

  • Audiologist
  • Plantsville, CT
National Provider Identifier
1780106690
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000596 Issued in CT
Practice address
710 Main St Ste 8
Plantsville, CT 06479-1565
Phone
(860) 426-9181
Fax
(860) 426-1072
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 000596 CT
Audiologist 231H00000X 000596 CT Primary

Addresses

Primary practice location

710 Main St Ste 8
Plantsville, CT 06479-1565

Mailing address

710 Main St Ste 8
Plantsville, CT 06479-1565
Phone (860) 426-9181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809002163 CT Practitioner - Qualified Audiologist 3072884030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000596CTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Health and Wellness Center LLC Audiologist CurrentSince Mar 11, 2025 Accepting new patients
CT Hearing, LLC Audiologist CurrentSince Jun 28, 2024 Accepting new patients
Ear Nose & Throat Medical and Surgical Group, LLC PastSince Jul 17, 2017 Accepting new patients

Locations

710 Main St
Ste 8
Plantsville, CT 06479
Phone (860) 426-9181

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEBFCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1780106690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MAIN ST STE 8",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791565",
            "telephone_number": "860-426-9181",
            "fax_number": "860-426-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN ST STE 8",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791565",
            "telephone_number": "860-426-9181",
            "fax_number": "860-426-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTOCHIAN-TRIPP",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "000596",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.