Healthcare Provider Details

I. General information

NPI: 1447178900
Provider Name (Legal Business Name): AMY MAE ORMORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY FAHMI

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1228 SUNSET DR STE B
NORWALK IA
50211-2401
US

IV. Provider business mailing address

10125 STARK DR
WEST DES MOINES IA
50266-6016
US

V. Phone/Fax

Practice location:
  • Phone: 515-981-9893
  • Fax:
Mailing address:
  • Phone: 515-981-9893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number139519
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number139519
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number139519
License Number StateIA
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number139519
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: