Sandi Caren Arcus
Individual provider Active NPI Audiologist · Las Vegas, NV
NPI 1285875765 · NPPES record last updated Dec 23, 2020
Key facts
- NPI
- 1285875765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- A-1792-DISPENSING (NV)
- Practice address
- 5920 S Rainbow Blvd Ste 9
Las Vegas, NV 89118-4209 - Phone
- (702) 362-3138
- Fax
- (702) 873-2050
- NPI assigned
- Mar 13, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beau Taggart England LLC
Practice addresses (Care Compare)
5920 S Rainbow Blvd
Suite 9
Las Vegas, NV 89118-4209
Phone (702) 362-3138
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151228001500 | NV | Practitioner - Qualified Audiologist | 2163572199 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-1792-DISPENSING | NV | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beau Taggart England, LLC | Audiologist | Current |
Accepting new patients |
| Vascular Diagnostic Center PC | Past | Accepting new patients | |
| Delta Medix PC | Past | Accepting new patients |
Locations
2625 Wigwam Pkwy
Ste 104
Henderson, NV 89074
Phone (702) 614-7243
5920 S Rainbow Blvd
Ste 9
Las Vegas, NV 89118
Phone (702) 240-2059
10470 W Cheyenne Ave
Ste 120
Las Vegas, NV 89129
Phone (702) 240-2059
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A-1792-DISPENSING | NV | |
| Audiologist | 231H00000X | A-1792-DISPENSING | NV | Yes |
Addresses
Primary practice location
5920 S Rainbow Blvd Ste 9
Las Vegas, NV 89118-4209
Mailing address
10470 W Cheyenne Ave Ste 120
Las Vegas, NV 89129-8733
Phone (702) 240-2059
Other practice location 1
2625 Wigwam Pkwy Ste 104
Henderson, NV 89074-7326
Phone (702) 614-7243
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102300063 | Medicaid | NV |
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.