Heather A Sandy, MA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

611 Issued in IA

Practice address

2215 E 52ND St
Suite 2
Davenport, IA 52807-2786

Phone

(563) 355-7712

NPI assigned

Dec 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Heather A South Former name

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Quad Cities Audiology Consultants, P.C.Group PAC ID 1052206075, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Quad Cities Audiology Consultants, P.C.

  dba Audiology Consultants, P.C.

  • Audiologist
  • Davenport, IA
  • NPI 1982624987

  IL

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1497731624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E 52ND ST",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072786",
            "telephone_number": "563-355-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E 52ND ST",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072786",
            "telephone_number": "563-355-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDY",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-001232",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "934",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457365520",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SOUTH",
            "middle_name": "A",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist in Davenport, IA
• Providers in Davenport, IA by specialty
• Audiologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.