Amanda Joyce Weaver, MS, AUD, CCC-SLP/A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51535 Issued in TX

Practice address

740 Hospital Dr Ste 300
Beaumont, TX 77701-4666

Phone

(409) 283-2555

Fax

(409) 283-8446

NPI assigned

Feb 1, 2007

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

Enrolled in TX2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Texas Ear, Nose and Throat, LLPGroup PAC ID 8426063736, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Southeast Texas Ear, Nose & Throat, LLP

  • Otolaryngology Physician
  • Beaumont, TX
  • NPI 1962477406
  Medicare reassignment Care Compare group
• Sally E Mulhbach Aud, PLLC

  • Audiologist
  • Lufkin, TX
  • NPI 1285875278
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1821136094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR STE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014666",
            "telephone_number": "409-981-1700",
            "fax_number": "409-981-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR STE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014666",
            "telephone_number": "409-283-2555",
            "fax_number": "409-283-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "AMANDA",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "MS, AUD, CCC-SLP/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111632",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821136094",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy L Watts, PT
• Wayne S. Margolis, M.D., P.a.
• We Care Healthcare LLC
• Leah Cinda Weatherford, NP
• Weaver and Jaynes Dentistry PLLC
• Charles Thomas Weaver, ACNPC-AG
• Christopher G Weaver, PSYD
• Richard Emil Weaver, DDS
• Kylee Breeann Web
• Webb Chiropractic and Sports Medicine

• Audiologist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.