Individual provider Active NPI

Stacy L Sanders, AUD

  • Audiologist
  • Dover, DE
National Provider Identifier
1003900432
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
02-0000092 Issued in DE
Practice address
826 S Governors Ave
Dover, DE 19904-4107
Phone
(302) 674-3752
Fax
(302) 674-8521
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 02-0000092 DE Primary

Addresses

Primary practice location

826 S Governors Ave
Dover, DE 19904-4107

Mailing address

640 S. State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688

Other practice location 1

101 Wellness Way Ste 300
Milford, DE 19963-4366
Phone (302) 393-5009

Other names 1

  • Miss Stacy S Lynch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000191 DE Practitioner - Qualified Audiologist 3173620358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing, Tinnitus and Balance Solutions, P.a.Group PAC ID 3971988437, 3 clinicians
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

200 Banning St
Suite 220
Dover, DE 19904-3487
Phone (302) 738-8991

826 S Governors Ave
Bayhealth Ear Nose Throat
Dover, DE 19904-4107
Phone (302) 674-3752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02-0000092DEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Mar 1, 2010 Accepting new patients
Hearing, Tinnitus and Balance Solutions, P.a. Audiologist CurrentSince Aug 25, 2022 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Mar 1, 2010 Accepting new patients

Locations

200 Banning St
Ste 220
Dover, DE 19904
Phone (302) 738-8991

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

826 S Governors Ave
Dover, DE 19904
Phone (302) 674-3752

640 S State St
Dover, DE 19901
Phone (302) 744-4700

101 Wellness Way
Ste 300
Milford, DE 19963
Phone (302) 393-5009

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1003900432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044107",
            "telephone_number": "302-674-3752",
            "fax_number": "302-674-8521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Wellness Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199634366",
            "country_code": "US",
            "telephone_number": "302-393-5009",
            "fax_number": "302-424-9211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DE",
            "license": "02-0000092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "LYNCH",
            "middle_name": "S",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.

Verify at the official NPI Registry.