Active NPI
Sandra Parke, AU D
- Audiologist
- Coweta, OK
National Provider Identifier
1497748784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 118
- Practice address
- 31870 E State Highway 51
Coweta, OK 74429-7900 - Phone
- (918) 279-3461
- Fax
- (918) 279-1087
- NPI assigned
- Aug 23, 2005
- 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 | 231H00000X | 118 | OK | Primary |
Addresses
Primary practice location
31870 E State Highway 51
Coweta, OK 74429-7900
Mailing address
31870 E State Highway 51
P.O. Box 900
Coweta, OK 74429-7900
Phone (918) 279-3461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200008660A | Medicaid | OK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118 | OK | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1497748784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31870 E STATE HIGHWAY 51",
"address_2": "P.O. BOX 900",
"city": "COWETA",
"state": "OK",
"postal_code": "744297900",
"telephone_number": "918-279-3461",
"fax_number": "918-279-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31870 E STATE HIGHWAY 51",
"city": "COWETA",
"state": "OK",
"postal_code": "744297900",
"telephone_number": "918-279-3461",
"fax_number": "918-279-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKE",
"first_name": "SANDRA",
"credential": "AU D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-23",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200008660A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coweta, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.