Individual provider Active NPI

Amanda Troyer Fontenot, AU.D.

  • Audiologist
  • The Woodlands, TX
National Provider Identifier
1851648075
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80376 Issued in TX
Practice address
150 Pine Forest Dr Ste 104
The Woodlands, TX 77384-5302
Phone
(936) 271-3366
Fax
(936) 270-3383
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80376 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 80376 TX

Addresses

Primary practice location

150 Pine Forest Dr Ste 104
The Woodlands, TX 77384-5302

Mailing address

150 Pine Forest Dr Ste 104
The Woodlands, TX 77384-5302
Phone (936) 271-3366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000317 TX Practitioner - Qualified Audiologist 6800043373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Woodlands Hearing Center LLC Audiologist-Hearing Aid Fitter CurrentSince Nov 1, 2023 Accepting new patients
Rosewood ENT, LLP Past Accepting new patients
Texas Ear, Nose & Throat Specialists, PLLC Audiologist PastSince Jul 3, 2018 Accepting new patients

Locations

150 Pine Forest Dr
Ste 104
The Woodlands, TX 77384
Phone (936) 271-3366

150 Pine Forest Dr
Ste 603
The Woodlands, TX 77384
Phone (936) 271-3366

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1851648075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 104",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773845302",
            "telephone_number": "936-271-3366",
            "fax_number": "936-270-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 104",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773845302",
            "telephone_number": "936-271-3366",
            "fax_number": "936-270-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "AMANDA",
        "middle_name": "TROYER",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80376",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.