Active NPI
Amy Lynne Wusterbarth, AU.D.
- Audiologist
- Santa Rosa Beach, FL
National Provider Identifier
1912914011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1719
- Practice address
- 141 Mack Bayou Loop Ste 202
Santa Rosa Beach, FL 32459-7194 - Phone
- (850) 622-0996
- Fax
- (850) 622-1185
- NPI assigned
- Aug 2, 2006
- 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 | AY1719 | FL | Primary |
Addresses
Primary practice location
141 Mack Bayou Loop Ste 202
Santa Rosa Beach, FL 32459-7194
Mailing address
141 Mack Bayou Loop Ste 202
Santa Rosa Beach, FL 32459-7194
Phone (850) 622-0996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Florida State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1305 Chestnut St
West Bend, WI 53095-3060
Phone (262) 338-3553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Hearing Care, LLC | Audiologist | Current | Accepting new patients |
Locations
1305 Chestnut St
West Bend, WI 53095
Phone (262) 335-4202
1305 Chestnut St
Ste 4
West Bend, WI 53095
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
- West Bend, WI
- NPI 1811937428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1912914011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 MACK BAYOU LOOP STE 202",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324597194",
"telephone_number": "850-622-0996",
"fax_number": "850-622-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 MACK BAYOU LOOP STE 202",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324597194",
"telephone_number": "850-622-0996",
"fax_number": "850-622-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUSTERBARTH",
"first_name": "AMY",
"middle_name": "LYNNE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.