Active NPI
Sandra M Anderson, AU.D.CCC-A
- Audiologist
- High Point, NC
National Provider Identifier
1265453096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4855
- Practice address
- 624 Quaker LN
Suite 208C
High Point, NC 27262-3832 - Phone
- (336) 802-2085
- Fax
- (336) 802-2086
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Statesville, NC
- NPI 1275914046
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1366624967
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Florida College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Otolaryngology Head and Neck Surgery Associates
Practice addresses (Care Compare)
144 Concord Rd
Knoxville, TN 37934-2901
Phone (865) 777-1727
623 Congress Pkwy S
Athens, TN 37303-2259
Phone (865) 777-1727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230726003153 | TN | Practitioner - Qualified Audiologist | 5698840130 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4855 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology Head and Neck Surgery Associates | Current | Accepting new patients | |
| Cornerstone Health Care PA | Past | Accepting new patients | |
| Merit Anesthesia PLLC | Past | Accepting new patients |
Locations
144 Concord Rd
Knoxville, TN 37934
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4855 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
624 Quaker LN
Suite 208C
High Point, NC 27262-3832
Mailing address
1701 Westchester Dr
Ste 850
High Point, NC 27262-7254
Phone (336) 802-2400
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3404192 | Medicaid | NC | |
| 640003894 | Other | NC | RR MEDICARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2009.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1265453096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DR",
"address_2": "STE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2400",
"fax_number": "336-802-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 QUAKER LN",
"address_2": "SUITE 208C",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623832",
"telephone_number": "336-802-2085",
"fax_number": "336-802-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SANDRA",
"middle_name": "M",
"credential": "AU.D.CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "4855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404192",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "640003894",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.