Individual provider Active NPI

Stacy Sammons, HIS

  • Hearing Instrument Specialist
  • Oskaloosa, IA
National Provider Identifier
1144974585
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
992 Issued in IA
Practice address
200 High Ave W Ste 2
Oskaloosa, IA 52577-2749
Phone
(641) 673-0911
Fax
(563) 726-7383
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 992 IA Primary

Addresses

Primary practice location

200 High Ave W Ste 2
Oskaloosa, IA 52577-2749

Mailing address

200 High Ave W Ste 2
Oskaloosa, IA 52577-2749
Phone (641) 673-0911

Other practice location 1

1103 W 16th St
Pella, IA 50219-7577
Phone (641) 628-1520

Other practice location 2

211 West St
Grinnell, IA 50112-2313
Phone (641) 236-7663

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

LicenseStateTypeSpecialty
992IAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1144974585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH AVE W STE 2",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772749",
            "telephone_number": "641-673-0911",
            "fax_number": "563-726-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH AVE W STE 2",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772749",
            "telephone_number": "641-673-0911",
            "fax_number": "563-726-7383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Pella",
            "state": "IA",
            "postal_code": "502197577",
            "country_code": "US",
            "telephone_number": "641-628-1520",
            "fax_number": "563-726-7383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 West St",
            "address_purpose": "LOCATION",
            "city": "Grinnell",
            "state": "IA",
            "postal_code": "501122313",
            "country_code": "US",
            "telephone_number": "641-236-7663",
            "fax_number": "563-726-7383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "STACY",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.