Active NPI
Justine R Sandstrom
- Audiologist-Hearing Aid Fitter
- Emporia, KS
National Provider Identifier
1417598061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1470
- Practice address
- 2715 Candlewood Dr Apt a
Emporia, KS 66801-6654 - Phone
- (620) 342-4327
- NPI assigned
- Oct 4, 2019
- Last updated
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 1470 | KS | Primary |
Addresses
Primary practice location
2715 Candlewood Dr Apt a
Emporia, KS 66801-6654
Mailing address
2715 Candlewood Dr Apt a
Emporia, KS 66801-6654
Phone (620) 342-4327
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1470 | KS | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1417598061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 CANDLEWOOD DR APT A",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668016654",
"telephone_number": "620-342-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 CANDLEWOOD DR APT A",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668016654",
"telephone_number": "620-342-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDSTROM",
"first_name": "JUSTINE",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "KS",
"license": "1470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.