Individual provider Active NPI

Sarah L Wellwood, AU.D.

  • Audiologist
  • Newburyport, MA
National Provider Identifier
1023210952
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
22965 Issued in OR
Practice address
1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3875
Phone
(978) 997-1550
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 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 22965 OR Primary

Addresses

Primary practice location

1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3875

Mailing address

1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3875
Phone (978) 997-1550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000569 MA Practitioner - Qualified Audiologist 6507951829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colden Ear Nose Throat and Allergy LLCGroup PAC ID 3678890597, 6 clinicians

Practice addresses (Care Compare)

1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3877
Phone (978) 997-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colden Ear Nose Throat & Allergy LLC CurrentSince Feb 4, 2015 Accepting new patients
Colden Ear Nose Throat & Allergy LLC CurrentSince Nov 13, 2012 Accepting new patients
Central Oregon Audiology and Hearing Aid Clinic Audiologist PastSince Jan 1, 2007 Accepting new patients
Audiology Distribution, LLC PastSince Jun 26, 2018 Accepting new patients

Locations

62 Brown St
Ste 301
Haverhill, MA 01830
Phone (978) 374-6770

62 Brown St
Ste 205
Haverhill, MA 01830
Phone (978) 499-3810

1 Wallace Bashaw Way
Ste 3002
Newburyport, MA 01950
Phone (978) 997-1550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFJBAA/Endpoint/IFJBAA

Organizations & group practices 4

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1023210952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY",
            "address_2": "SUITE 3002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503875",
            "telephone_number": "978-997-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY",
            "address_2": "SUITE 3002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503875",
            "telephone_number": "978-997-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLWOOD",
        "first_name": "SARAH",
        "middle_name": "L",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "22965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.