Individual provider Active NPI

Sara L Carnevale Fearon, AUD

  • Audiologist
  • Cranston, RI
National Provider Identifier
1043417843
Registry record updated Jul 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
989 Reservoir Ave
Suite 203
Cranston, RI 02910-5138
Phone
(401) 585-5439
Fax
(401) 589-5639
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

989 Reservoir Ave
Suite 203
Cranston, RI 02910-5138

Mailing address

989 Reservoir Ave
Suite 203
Cranston, RI 02910-5138
Phone (401) 585-5439

Other names 1

  • Sara L Carnevale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437782400000",
    "number": "1043417843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 RESERVOIR AVE",
            "address_2": "SUITE 203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105138",
            "telephone_number": "401-585-5439",
            "fax_number": "401-589-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 RESERVOIR AVE",
            "address_2": "SUITE 203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105138",
            "telephone_number": "401-585-5439",
            "fax_number": "401-589-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEVALE FEARON",
        "first_name": "SARA",
        "middle_name": "L",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2015-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CARNEVALE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.