Active NPI
Stacy L Sanders, AUD
- Audiologist
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 02-0000092
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.Bayhealth Medical Center, Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02-0000092 | DE | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Hearing, Tinnitus and Balance Solutions, P.a. | Audiologist | Current | Accepting new patients |
| Bayhealth Medical Center, Inc | Current | 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.
-
- Audiologist
- Dover, DE
- NPI 1003554254
-
- Cardiovascular Disease Physician
- Milford, DE
- NPI 1063938439
-
- Medical Oncology Physician
- Dover, DE
- NPI 1295292183
-
- Clinic Pharmacy
- Dover, DE
- NPI 1336420280
-
- Cardiovascular Disease Physician
- Dover, DE
- NPI 1417473935
-
- Anatomic Pathology Physician
- Dover, DE
- NPI 1609333590
-
- Radiation Oncology Physician
- Dover, DE
- NPI 1841757739
-
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
- Medical Oncology Physician
- Milford, DE
- NPI 1104383041
-
- Clinic/Center
- Milford, DE
- NPI 1265422828
-
- Sleep Disorder Diagnostic Clinic/Center
- Dover, DE
- NPI 1326463167
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.