Active NPI
Sarah Marie Chandler, AU.D.
- Audiologist
- Saint Louis, MO
National Provider Identifier
1649413899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2004012719
- Practice address
- 6744 Clayton Rd Ste 310
Saint Louis, MO 63117-1639 - Phone
- (367) 660-0314
- NPI assigned
- Apr 16, 2009
- 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 | 2004012719 | MO | Primary |
Addresses
Primary practice location
6744 Clayton Rd Ste 310
Saint Louis, MO 63117-1639
Mailing address
6744 Clayton Rd Ste 310
Saint Louis, MO 63117-1639
Phone (367) 660-0314
Other practice location 1
12255 Depaul Dr
Suite 860 North
Bridgeton, MO 63044-2515
Phone (314) 394-1911
Other practice location 2
1000 Lake Saint Louis Blvd Ste 115
Lake Saint Louis, MO 63367-2923
Phone (314) 394-1911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004012719 | Other | MO | STATE LICENSE |
| 339480808 | Medicaid | MO |
Other names 1
- Sarah Marie Rotter
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 |
|---|---|---|---|
| 2004012719 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Consultants, LLC | Audiologist | Current | Accepting new patients |
| Hearing Consultants | Audiologist | Past | Accepting new patients |
Locations
10097 Manchester Rd
Ste 102A
Saint Louis, MO 63122
Organizations & group practices 2
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.
-
- Audiologist
- Bridgeton, MO
- NPI 1851942874
-
- Audiologist
- Topeka, KS
- NPI 1548461502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1649413899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6744 CLAYTON RD STE 310",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171639",
"telephone_number": "367-660-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6744 CLAYTON RD STE 310",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171639",
"telephone_number": "367-660-0314"
}
],
"practiceLocations": [
{
"address_1": "12255 Depaul Dr",
"address_2": "Suite 860 North",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442515",
"country_code": "US",
"telephone_number": "314-394-1911",
"fax_number": "314-735-4165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Lake Saint Louis Blvd Ste 115",
"address_purpose": "LOCATION",
"city": "Lake Saint Louis",
"state": "MO",
"postal_code": "633672923",
"country_code": "US",
"telephone_number": "314-394-1911",
"fax_number": "314-735-4165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANDLER",
"first_name": "SARAH",
"middle_name": "MARIE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2004012719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2004012719",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "339480808",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "ROTTER",
"middle_name": "MARIE",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.