Active NPI
Brenda Sahr Boal, M.S., BC-HIS
- Audiologist-Hearing Aid Fitter
- Layton, UT
National Provider Identifier
1396344495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 10990074-4601
- Practice address
- 1055 W Hill Field Rd
Layton, UT 84041-4614 - Phone
- (801) 315-9504
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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-Hearing Aid Fitter | 237600000X | 10990074-4601 | UT | Primary |
Addresses
Primary practice location
1055 W Hill Field Rd
Layton, UT 84041-4614
Mailing address
3344 E Fortuna Dr
Salt Lake City, UT 84124-5616
Phone (143) 571-4171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10990074-4601 | UT | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1396344495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3344 E FORTUNA DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841245616",
"telephone_number": "143-571-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 W HILL FIELD RD",
"city": "LAYTON",
"state": "UT",
"postal_code": "840414614",
"telephone_number": "801-315-9504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAL",
"first_name": "BRENDA",
"middle_name": "SAHR",
"credential": "M.S., BC-HIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "UT",
"license": "10990074-4601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.