Individual provider Active NPI

Gwendolyn Sweezey

  • Hearing Instrument Specialist
  • Saint Louis, MO
National Provider Identifier
1669126215
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2019008652 Issued in MO
Practice address
5220 S Lindbergh Blvd
Saint Louis, MO 63126-3519
Phone
(314) 843-7233
NPI assigned
Feb 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2019008652 MO Primary

Addresses

Primary practice location

5220 S Lindbergh Blvd
Saint Louis, MO 63126-3519

Mailing address

3473 Rider TRL S
Earth City, MO 63045-1110
Phone (314) 328-0088

Other practice location 1

5 Club Centre Ct Ste B
Edwardsville, IL 62025-3517
Phone (618) 844-1401

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
2019008652MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle-Ear Centers of Arkansas Hearing Instrument Specialist CurrentSince Feb 13, 2022 Accepting new patients

Locations

3473 S Rider Trl
Earth City, MO 63045
Phone (314) 328-0088

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1669126215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 RIDER TRL S",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451110",
            "telephone_number": "314-328-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631263519",
            "telephone_number": "314-843-7233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Club Centre Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253517",
            "country_code": "US",
            "telephone_number": "618-844-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEEZEY",
        "first_name": "GWENDOLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2019008652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 11, 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.