Individual provider Active NPI

Eileen Kuulei Sander, M.A.,CCC-A

  • Audiologist-Hearing Aid Fitter
  • Memphis, TN
National Provider Identifier
1427225614
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
0000000279 Issued in TN
Practice address
1719 Kirby Pkwy
Memphis, TN 38120-4367
Phone
(901) 751-0859
Fax
(901) 726-6120
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 0000000279 TN Primary

Addresses

Primary practice location

1719 Kirby Pkwy
Memphis, TN 38120-4367

Mailing address

1719 Kirby Pkwy
Memphis, TN 38120-4367
Phone (901) 751-0859

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0000000279TNMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1427225614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204367",
            "telephone_number": "901-751-0859",
            "fax_number": "901-726-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204367",
            "telephone_number": "901-751-0859",
            "fax_number": "901-726-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDER",
        "first_name": "EILEEN",
        "middle_name": "KUULEI",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "0000000279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.