Amanda K McKallip, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

002676 Issued in NY

Practice address

64 Elizabeth Blackwell St
Suite C
Geneva, NY 14456-3403

Phone

(315) 789-3595

Fax

(315) 789-9051

NPI assigned

Sep 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda K Czech Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1982152252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ELIZABETH BLACKWELL ST",
            "address_2": "SUITE C",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144563403",
            "telephone_number": "315-789-3595",
            "fax_number": "315-789-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ELIZABETH BLACKWELL ST",
            "address_2": "SUITE C",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144563403",
            "telephone_number": "315-789-3595",
            "fax_number": "315-789-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKALLIP",
        "first_name": "AMANDA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CZECH",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katharine Maria McGahey, FNP
• Kermit D McGinnis, MD
• Susan McGowan, LCSW-R
• Lian McGuane
• Caitlyn S McHale, LPN
• Emily Anne McLaughlin, LPN
• Kaitlyn McWilliams, LCSW
• Jennifer Anne Meeks, LCSWR, CASAC
• Leonard G. Meggs, M.D.
• Lisa Marie Meringola, NURSE

• Audiologist in Geneva, NY
• Providers in Geneva, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.