Individual provider Active NPI

Amber Wagster, AUD

  • Audiologist
  • Sandusky, OH
National Provider Identifier
1639906019
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.02537 Issued in OH
Practice address
1206 Hull Rd SPC 2
Sandusky, OH 44870-6061
Phone
(419) 502-3516
Fax
(419) 324-1110
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 292808 KY
Audiologist 231H00000X A.02537 OH Primary

Addresses

Primary practice location

1206 Hull Rd SPC 2
Sandusky, OH 44870-6061

Mailing address

1206 Hull Rd SPC 2
Sandusky, OH 44870-6061
Phone (419) 502-3516

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

LicenseStateTypeSpecialty
292808KYMDAudiologist
A.02537OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Health Mi LLC Single Specialty Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1639906019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 HULL RD SPC 2",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448706061",
            "telephone_number": "419-502-3516",
            "fax_number": "419-324-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HULL RD SPC 2",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448706061",
            "telephone_number": "419-502-3516",
            "fax_number": "419-324-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGSTER",
        "first_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-11-06",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "KY",
            "license": "292808",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.