Sally Woodie Fodero

Primary specialty

AudiologistTaxonomy code 231H00000X

License

167 Issued in NH

Practice address

655 Portsmouth Ave
Greenland, NH 03840-2264

Phone

(603) 436-4655

Fax

(603) 436-4660

NPI assigned

Dec 19, 2005

Last updated

Nov 17, 2015By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Hampshire Hearing and Balance, LLC

  dba Sally Fodero

  • Audiologist
  • Greenland, NH
  • NPI 1457557423
  Authorized official Same address or phone
• Seacoast Body Balance, LLC

  • Physical Therapist
  • Greenland, NH
  • NPI 1245590819
  NPD
• Professional Audiology PC

  • Audiologist
  • Portsmouth, NH
  • NPI 1255685483
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1306822580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "NEW CASTLE",
            "state": "NH",
            "postal_code": "038540286",
            "telephone_number": "603-436-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402264",
            "telephone_number": "603-436-4655",
            "fax_number": "603-436-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODERO",
        "first_name": "SALLY",
        "middle_name": "WOODIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30433055",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Exeter Psychological Associates, Inc.
• Family Tree Guidance Services, LLC
• Feminist Health Center of Portsmouth, Inc
• Timothy Michael Finelli, DDS
• Christina Fiske, RPH
• Fox Run Eye Care, P.L.L.C.
• Jordan Fusco
• Melissa H Gahr, PT
• Susan M Gallant Behan, O.D.
• Kathryn Gan, LMT

• Audiologist in Greenland, NH
• Providers in Greenland, NH by specialty
• Audiologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.

Verify at the official NPI Registry.