Active NPI
Sarah Elizabeth Johnson, AU.D.
- Audiologist
- Midland, TX
National Provider Identifier
1205136744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80247
- Practice address
- 3303 N Midkiff Rd
Suite 168
Midland, TX 79705-4828 - Phone
- (432) 260-7637
- NPI assigned
- Nov 1, 2010
- Last updated
- May 21, 2013
- 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 | 80247 | TX | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 80247 | TX |
Addresses
Primary practice location
3303 N Midkiff Rd
Suite 168
Midland, TX 79705-4828
Mailing address
3303 N Midkiff Rd
Suite 168
Midland, TX 79705-4828
Phone (432) 260-7637
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2864373 | Medicaid | TX | |
| TXB136498 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80247 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCH Professional Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Midland, TX
- NPI 1477999142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1205136744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 N MIDKIFF RD",
"address_2": "SUITE 168",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797054828",
"telephone_number": "432-260-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 N MIDKIFF RD",
"address_2": "SUITE 168",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797054828",
"telephone_number": "432-260-7637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80247",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "80247",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2864373",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB136498",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.