Sallie Wynne Segrest, AU.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1134A Issued in AL

Practice address

271 Cherokee TRL
Tallassee, AL 36078-4069

Phone

(662) 832-1136

NPI assigned

Sep 16, 2014

Last updated

Apr 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1669874178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 CHEROKEE TRL",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360784069",
            "telephone_number": "662-832-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CHEROKEE TRL",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360784069",
            "telephone_number": "662-832-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGREST",
        "first_name": "SALLIE",
        "middle_name": "WYNNE",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1134A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENSURE FOR THE STATE OF ALABAMA",
            "identifier": "1134A",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Tallassee, AL
• Providers in Tallassee, AL by specialty
• Audiologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.