Active NPI
Therese M Sankovitz, AUD
- Audiologist
- Silver City, NM
National Provider Identifier
1154519726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD5888
- Practice address
- 1016 North Pope Street
Silver City, NM 88061 - Phone
- (575) 993-9849
- Fax
- (575) 652-5284
- NPI assigned
- Oct 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD5888 | NM | Primary |
| Audiologist | 231H00000X | 23-156 | WI |
Addresses
Primary practice location
1016 North Pope Street
Silver City, NM 88061
Mailing address
2340 Highway 180 E
Silver City, NM 88061-7782
Phone (575) 993-9849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160120002732 | NM | Practitioner - Qualified Audiologist | 3375630478 | Practice locations: Silver City, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2340 US Hwy 180E PMB 299
Silver City, NM 88061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD5888 | NM | MD | Audiologist |
| 23-156 | WI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1154519726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 HIGHWAY 180 E",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617782",
"telephone_number": "575-993-9849",
"fax_number": "575-652-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 NORTH POPE STREET",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "88061",
"telephone_number": "575-993-9849",
"fax_number": "575-652-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANKOVITZ",
"first_name": "THERESE",
"middle_name": "M",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2024-01-08",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NM",
"license": "AUD5888",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "23-156",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.