Active NPI
Jennifer Morgan Sanders, AU.D., CCC-A, FAAA
- Audiologist
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23002522A
- Practice address
- 4015 Gateway Blvd
Newburgh, IN 47630-8925 - Phone
- (812) 425-2646
- Fax
- (812) 467-7209
- NPI assigned
- Sep 26, 2012
- Last updated
- Jan 6, 2015
- 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 | 23002522A | IN | Primary |
Addresses
Primary practice location
4015 Gateway Blvd
Newburgh, IN 47630-8925
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 425-2646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201115930 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Ohio State University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
35 Augusta Ave
Ft Wright, KY 41011-3603
Phone 24852821166
8425 Woodfield Crossing Blvd
Suite 100
Indianapolis, IN 46240-7316
Phone (248) 528-2116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23002522A | IN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Leider MD PLLC | Current | Accepting new patients | |
| Onhealthcare LLC | Current | Accepting new patients | |
| Onhealthcare, LLC | Current | Accepting new patients | |
| Onhealthcare, LLC | Audiologist | Current | Accepting new patients |
| Jeffrey Leider MD PLLC | Audiologist | Current | Accepting new patients |
| Onhealthcare LLC | Past | Accepting new patients |
Locations
8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 554-0555
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
Interoperability endpoints
- jennifer.sanders.p1@direct.360care.nextgenshare.com
- jennifer.sanders.p4@direct.360care.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba OnHealthcare
- Geriatric Medicine (Family Medicine) Physician
- Ft Wright, KY
- NPI 1063788818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1003167479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477061510",
"telephone_number": "812-425-2646",
"fax_number": "812-467-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308925",
"telephone_number": "812-425-2646",
"fax_number": "812-467-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JENNIFER",
"middle_name": "MORGAN",
"name_prefix": "Dr.",
"credential": "AU.D., CCC-A, FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23002522A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201115930",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.