Individual provider Active NPI

Amanda Leigh Kovach, AU.D.

  • Audiologist
  • Knoxville, TN
National Provider Identifier
1902368194
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1612 Issued in TN
Practice address
1932 Alcoa Hwy
Knoxville, TN 37920-1527
Phone
(865) 305-9569
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1612 TN Primary

Addresses

Primary practice location

1932 Alcoa Hwy
Knoxville, TN 37920-1527

Mailing address

1556 Barley Cir
Knoxville, TN 37922-5962
Phone (865) 201-7962

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.utmedicalcenter.org/medical-care/centers-of-excellence/brain-spine/balance-and-hearing-c

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414003978 TN Practitioner - Qualified Audiologist 3274963277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Hearing of TennesseeGroup PAC ID 3072818517, 7 clinicians

Practice addresses (Care Compare)

10055 Rhea County Hwy
Dayton, TN 37321-7937
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Hearing of Tennessee Audiologist CurrentSince Mar 5, 2020 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

10055 Rhea County Hwy
Dayton, TN 37321
Phone (423) 847-6777

Interoperability endpoints

  • Direct secure messaging: amanda.kovach.p2@direct.360care.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1902368194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 BARLEY CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225962",
            "telephone_number": "865-201-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201527",
            "telephone_number": "865-305-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.utmedicalcenter.org/medical-care/centers-of-excellence/brain-spine/balance-and-hearing-c",
            "affiliation": "N",
            "address_1": "1932 Alcoa Hwy",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379201527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.