Active NPI
Amelia Bacaoanu, AU.D
- Audiologist
- Reno, NV
National Provider Identifier
1831553882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-1826 DISPENSING
- Practice address
- 4835 Kietzke LN
Reno, NV 89509-6549 - Phone
- (775) 343-7680
- NPI assigned
- Apr 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-1826 DISPENSING | NV | Primary |
Addresses
Primary practice location
4835 Kietzke LN
Reno, NV 89509-6549
Mailing address
4835 Kietzke LN
Reno, NV 89509-6549
Phone (775) 343-7680
Other names 1
- Amelia Hibbard
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
| License | State | Type | Specialty |
|---|---|---|---|
| A-1826 DISPENSING | NV | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1831553882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 KIETZKE LN",
"city": "RENO",
"state": "NV",
"postal_code": "895096549",
"telephone_number": "775-343-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4835 KIETZKE LN",
"city": "RENO",
"state": "NV",
"postal_code": "895096549",
"telephone_number": "775-343-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACAOANU",
"first_name": "AMELIA",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-06",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NV",
"license": "A-1826 DISPENSING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMELIA",
"last_name": "HIBBARD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.