AMANDA MARIE PARKER (AU.D.) – Audiologist, NPI 1063466092

AMANDA MARIE PARKER (AU.D.) is a healthcare provider. based in Lithia, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. AY1311 (FL). The NPI Number for AMANDA MARIE PARKER (AU.D.) is 1063466092

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MARIE PARKER (AU.D.)
NPI
1063466092
Phone
(813) 326-4804
Address
5408 SANDERLING RIDGE DR
Enumeration Date
22 May 2006
Last Update Date
8 November 2024

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
1951306794
Professional Enrollment ID
I20260408003332
Address ID
AL358016449HU201XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

Provider Addresses for AMANDA MARIE PARKER (AU.D.)

  • 5408 SANDERLING RIDGE DR

    LITHIA, FL 335473996

    Phone: (813) 326-4804

    Type: Location

  • West Pipkin Road, Lakeland, Polk County, Florida, 33811, United States

    LAKELAND, FL 338111442

    Phone: (863) 701-2470

    Fax: (863) 701-2474

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060928000554IQualified AudiologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33547)

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Reviews

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Frequently asked questions

How do I look up AMANDA MARIE PARKER (AU.D.) by NPI?
Use NPI 1063466092 when you need to reference AMANDA MARIE PARKER (AU.D.) in forms, claims, or directories.
Is AMANDA MARIE PARKER (AU.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does AMANDA MARIE PARKER (AU.D.) work in?
You can think of AMANDA MARIE PARKER (AU.D.) as practicing within Audiologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for AMANDA MARIE PARKER (AU.D.)?
The page summarizes Lithia, Florida for AMANDA MARIE PARKER (AU.D.); expand the address list for detail.
Is AMANDA MARIE PARKER (AU.D.) a real provider?
This page reflects official NPPES data for NPI 1063466092. Always confirm identity and privileges with the practice and licensing boards.

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