Active NPI
Amanda Marie McInroy, AUD
- Audiologist
- Phoenix, AZ
National Provider Identifier
1871015305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA10692
- Practice address
- 4545 E Shea Blvd Ste 174
Phoenix, AZ 85028-3061 - Phone
- (602) 254-6041
- NPI assigned
- Jul 17, 2017
- 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 | DA10692 | AZ | Primary |
Addresses
Primary practice location
4545 E Shea Blvd Ste 174
Phoenix, AZ 85028-3061
Mailing address
2925 E John Cabot Rd
Phoenix, AZ 85032-1133
Phone (925) 586-4521
Other names 1
- Amanda Marie Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4545 E Shea Blvd
Phoenix, AZ 85028-3061
Phone (602) 254-6041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA10692 | AZ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Audiology Consultants, Inc. | Audiologist | Current | Accepting new patients |
Locations
4545 E Shea Blvd
Ste 174
Phoenix, AZ 85028
Phone (602) 254-6041
Organizations & group practices 1
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.
-
- Audiologist
- Phoenix, AZ
- NPI 1851556104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1871015305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 E JOHN CABOT RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850321133",
"telephone_number": "925-586-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 E SHEA BLVD STE 174",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283061",
"telephone_number": "602-254-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINROY",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA10692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MOORE",
"middle_name": "MARIE",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.