Active NPI
Stephanie Suzanne Sanchez, AUD
- Audiologist
- Albuquerque, NM
National Provider Identifier
1225018872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3118
- Practice address
- 9500 Montgomery Blvd NE
Ste. 215
Albuquerque, NM 87111-2501 - Phone
- (505) 247-4224
- Fax
- (505) 247-1772
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 3118 | NM | Primary |
Addresses
Primary practice location
9500 Montgomery Blvd NE
Ste. 215
Albuquerque, NM 87111-2501
Mailing address
PO Box 398
Jarales, NM 87023-0398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59225289 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Montgomery Blvd NE
Suite 215
Albuquerque, NM 87111-2579
Phone 5054407002224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3118 | NM | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albuquerque Speech Language and Hearing Center | Current | Accepting new patients |
Locations
9500 Montgomery Blvd NE
Ste 215
Albuquerque, NM 87111
Phone (505) 247-4224
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Assistant
- Albuquerque, NM
- NPI 1720093503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1225018872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "JARALES",
"state": "NM",
"postal_code": "870230398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 MONTGOMERY BLVD NE",
"address_2": "STE. 215",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112501",
"telephone_number": "505-247-4224",
"fax_number": "505-247-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "STEPHANIE",
"middle_name": "SUZANNE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NM",
"license": "3118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59225289",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.