Active NPI
Amy E Nedostup, AUD
- Audiologist
- Altoona, PA
National Provider Identifier
1851409411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006287
- Practice address
- 3341 Beale Ave
Altoona, PA 16601-1549 - Phone
- (814) 944-5357
- NPI assigned
- Aug 25, 2006
- 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 | AT006287 | PA | Primary |
Addresses
Primary practice location
3341 Beale Ave
Altoona, PA 16601-1549
Mailing address
3341 Beale Ave
Altoona, PA 16601-1549
Phone (814) 944-5357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1028287310001 | Medicaid | PA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006287 | PA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1851409411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 BEALE AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166011549",
"telephone_number": "814-944-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3341 BEALE AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166011549",
"telephone_number": "814-944-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEDOSTUP",
"first_name": "AMY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028287310001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.