NPI 1649904939 · live from the CMS NPI Registry
Amanda Nicole Baskerville, AuD
Audiologist in Joint Base Lewis-Mcchord, WA. National Provider Identifier 1649904939, active.
NPI record
| NPI | 1649904939 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | Madigan Annex, E Johnson St, Building 9911c, Ramp 2, Joint Base Lewis-Mcchord, WA 98433 |
| Practice phone | 253-968-3431 |
| Mailing address | Madigan Annex, E Johnson St, Building 9911c, Ramp 2, Apo, AA 98433 |
| Enumerated | July 12, 2022 |
| Last updated | November 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | LD61318724 (WA) |
| Audiologist | 231H00000X | — (WA) |
| Audiologist-Hearing Aid Fitter | 237600000X | LD61318724 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.