Individual provider Active NPI

Amanda Harris Langham, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Austin, TX
National Provider Identifier
1912022583
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
80309 Issued in TX
Practice address
3202 W Anderson LN
# 208
Austin, TX 78757-1035
Phone
(512) 879-3993
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 33430 TX
Audiologist-Hearing Aid Fitter 237600000X 80309 TX Primary

Addresses

Primary practice location

3202 W Anderson LN
# 208
Austin, TX 78757-1035

Mailing address

3202 W Anderson LN
# 208
Austin, TX 78757-1035
Phone (512) 879-3993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000306 TX Practitioner - Qualified Audiologist 1355522376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahl Audiology, LLCGroup PAC ID 2567692973, 2 clinicians

Practice addresses (Care Compare)

3202 W Anderson LN
Austin, TX 78757-1035
Phone (512) 879-3993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80309TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ahl Audiology, LLC. CurrentSince Nov 5, 2013 Accepting new patients

Locations

3202 W Anderson Ln
#208
Austin, TX 78757
Phone (512) 879-3993

3202 W Anderson Ln
Ste 208
Austin, TX 78757
Phone (512) 879-3993

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1912022583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 W ANDERSON LN",
            "address_2": "# 208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571035",
            "telephone_number": "512-879-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 W ANDERSON LN",
            "address_2": "# 208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571035",
            "telephone_number": "512-879-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGHAM",
        "first_name": "AMANDA",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33430",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.