Active NPI
Amanda Malvica Snell, AUD
- Audiologist
- Horseheads, NY
National Provider Identifier
1891925145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002275
- Practice address
- 63 Colonial Dr Ste 3
Horseheads, NY 14845-8603 - Phone
- (607) 795-6225
- Fax
- (607) 329-1422
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006117 | PA | |
| Audiologist | 231H00000X | 002275 | NY | Primary |
Addresses
Primary practice location
63 Colonial Dr Ste 3
Horseheads, NY 14845-8603
Mailing address
63 Colonial Dr Ste 3
Horseheads, NY 14845-8603
Phone (607) 795-6225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18 Ridge Rd
Suite 1
Horseheads, NY 14845-1762
Phone (607) 795-6225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finger Lakes Audiology, PLLC | Audiologist | Current | Accepting new patients |
| Southern Tier Audiology Associates PC | Audiologist | Past | Accepting new patients |
| Timeless Hearing LLC | Past | Accepting new patients |
Locations
63 Colonial Dr
Ste 3
Horseheads, NY 14845
Phone (607) 738-9293
18 Ridge Rd
Ste 1
Horseheads, NY 14845
Phone (607) 795-6225
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.
-
- Audiologist
- Horseheads, NY
- NPI 1780232447
-
- Audiologist-Hearing Aid Fitter
- Elmira, NY
- NPI 1386603843
-
- Audiologist-Hearing Aid Fitter
- Cortland, NY
- NPI 1558055731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1891925145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 COLONIAL DR STE 3",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148458603",
"telephone_number": "607-795-6225",
"fax_number": "607-329-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 COLONIAL DR STE 3",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148458603",
"telephone_number": "607-795-6225",
"fax_number": "607-329-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNELL",
"first_name": "AMANDA",
"middle_name": "MALVICA",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006117",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Horseheads, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.