Individual provider Active NPI

Amanda Breaseale, LHAS

  • Hearing Instrument Specialist
  • Guntersville, AL
National Provider Identifier
1821684358
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2322 Issued in AL
Practice address
7979 Al Highway 69
Guntersville, AL 35976-7119
Phone
(256) 486-9488
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/Technologist 235500000X 2322 AL
Audiologist-Hearing Aid Fitter 237600000X 2322 AL
Hearing Instrument Specialist 237700000X 2322 AL Primary

Addresses

Primary practice location

7979 Al Highway 69
Guntersville, AL 35976-7119

Mailing address

2332 Niles Rd
Boaz, AL 35957-3540
Phone (256) 744-5511

Other practice location 1

16 Public Sq W Ste 8
Jacksonville, AL 36265-2511
Phone (256) 644-5114

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2322ALMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Hearing Health Care CurrentSince Apr 23, 2023 Accepting new patients
Audiology Services Company USA, LLC Hearing Instrument Specialist Past Accepting new patients

Locations

7979 AL Highway 69
Guntersville, AL 35976
Phone (256) 486-9488

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1821684358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 NILES RD",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359573540",
            "telephone_number": "256-744-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 AL HIGHWAY 69",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767119",
            "telephone_number": "256-486-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Public Sq W Ste 8",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AL",
            "postal_code": "362652511",
            "country_code": "US",
            "telephone_number": "256-644-5114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREASEALE",
        "first_name": "AMANDA",
        "credential": "LHAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "AL",
            "license": "2322",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AL",
            "license": "2322",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AL",
            "license": "2322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.