Individual provider Active NPI

Sarah Marie Chandler, AU.D.

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1649413899
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2004012719 Issued in MO
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

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2004012719OtherMOSTATE LICENSE
339480808MedicaidMO

Other names 1

  • Sarah Marie Rotter Former name

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

LicenseStateTypeSpecialty
2004012719MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Consultants, LLC Audiologist CurrentSince Sep 25, 2019 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.

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.

Verify at the official NPI Registry.