Individual provider Active NPI

Sarah E Smith, M.A., CCC-A

  • Audiologist
  • Bossier City, LA
National Provider Identifier
1003979691
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5157 Issued in LA
Practice address
1000 Chinaberry Dr
Suite 103
Bossier City, LA 71111-2442
Phone
(318) 747-9191
Fax
(318) 747-6421
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5157 LA Primary

Addresses

Primary practice location

1000 Chinaberry Dr
Suite 103
Bossier City, LA 71111-2442

Mailing address

1000 Chinaberry Dr
Suite 103
Bossier City, LA 71111-2442
Phone (318) 747-9191

Other identifiers 1

IdentifierTypeStateIssuer
1508985MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000620 LA Practitioner - Qualified Audiologist 6204853963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Chinaberry Dr
Bossier City, LA 71111-2442

1000 Chinaberry Dr
Suite 103
Bossier City, LA 71111-2443
Phone (318) 747-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5157LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Better Hearing Systems of Northwest Louisiana,LLC CurrentSince Jul 1, 2006 Accepting new patients

Locations

1000 Chinaberry Dr
Ste 103
Bossier City, LA 71111
Phone (318) 747-9191

1810 E 70th St
Ste 400
Shreveport, LA 71105
Phone (318) 797-7733

Networks

  • MS PPO D-SNP
  • TX HMO D-SNP
  • MS PPO C-SNP
  • MS PPO
  • TX HMO

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1003979691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR",
            "address_2": "SUITE 103",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112442",
            "telephone_number": "318-747-9191",
            "fax_number": "318-747-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR",
            "address_2": "SUITE 103",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112442",
            "telephone_number": "318-747-9191",
            "fax_number": "318-747-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARAH",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "5157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508985",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.