Active NPI
Carrie Buchanan Sanders, AU.D.
- Audiologist
- Chicago, IL
National Provider Identifier
1114157401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001317
- Practice address
- 2300 N Childrens PLZ # 38
Chicago, IL 60614-3363 - Phone
- (773) 880-4318
- Fax
- (773) 880-6618
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 147001317 | IL | Primary |
Addresses
Primary practice location
2300 N Childrens PLZ # 38
Chicago, IL 60614-3363
Mailing address
2300 N Childrens PLZ # 38
Chicago, IL 60614-3363
Phone (773) 880-4318
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147001317 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child'S Voice School | Audiologist | Past | Accepting new patients |
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": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1114157401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 N CHILDRENS PLZ # 38",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143363",
"telephone_number": "773-880-4318",
"fax_number": "773-880-6618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N CHILDRENS PLZ # 38",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143363",
"telephone_number": "773-880-4318",
"fax_number": "773-880-6618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "CARRIE",
"middle_name": "BUCHANAN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.