Sally Jo Donohue, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

LD00001723 Issued in WA

Practice address

1818 So Union Ave
#2-C
Tacoma, WA 98405-1953

Phone

(253) 627-7567

Fax

(253) 627-4778

NPI assigned

Jun 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sally Jo Long (Maiden) Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1235459348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 SO UNION AVE",
            "address_2": "#2-C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051953",
            "telephone_number": "253-627-7567",
            "fax_number": "253-627-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 SO UNION AVE",
            "address_2": "#2-C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051953",
            "telephone_number": "253-627-7567",
            "fax_number": "253-627-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "SALLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00001723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "LONG (MAIDEN)",
            "middle_name": "JO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacy L. Donlon, MD
• Charles S Donner, M.D.
• Morgan Luane Donner, BA
• Emily Donoghue
• Madison Emily Donoghue
• Ryan Keith Donovan
• Doors to Change Behavioral Health
• Sarah Melissa Dore, ARNP
• Doris a Page, M.D.
• Ione Marie Dorris, CMA

• All providers in Tacoma, WA
• Audiologist-Hearing Aid Fitter in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.