Active NPI
Shayne M Sage, AU.D.
- Audiologist
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA1423
- Practice address
- 12301 W Bell Rd Ste B104
Surprise, AZ 85378-9706 - Phone
- (623) 876-0317
- Fax
- (623) 876-0034
- NPI assigned
- Feb 4, 2008
- Last updated
- Aug 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA1423 | AZ | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | DA1423 | AZ |
Addresses
Primary practice location
12301 W Bell Rd Ste B104
Surprise, AZ 85378-9706
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380
Other practice location 1
8300 N Hayden Rd Ste E102
Scottsdale, AZ 85258-2589
Phone (480) 305-2033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | Audiologist | Current | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
Locations
405 N Beaver St
Ste 4
Flagstaff, AZ 86001
Phone (928) 214-0907
1237 S Val Vista Dr
Ste 111
Mesa, AZ 85204
Phone (480) 807-5410
100 Verde Valley School Rd
Ste 105
Sedona, AZ 86351
Phone (928) 284-1289
12301 W Bell Rd
Ste B104
Surprise, AZ 85378
Phone (623) 876-0024
750 N Commons Dr
Ste 200
Aurora, IL 60504
215 Shuman Blvd
Ste 401
Naperville, IL 60563
Phone (331) 229-8279
Organizations & group practices 3
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": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1679751572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COMMONS DR STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605047940",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 W BELL RD STE B104",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789706",
"telephone_number": "623-876-0317",
"fax_number": "623-876-0034"
}
],
"practiceLocations": [
{
"address_1": "8300 N Hayden Rd Ste E102",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852582589",
"country_code": "US",
"telephone_number": "480-305-2033",
"fax_number": "480-305-2034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAGE",
"first_name": "SHAYNE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-04",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA1423",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AZ",
"license": "DA1423",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
- Safe Harbor Hospice of Arizona, LLC
- Safe Haven Services, LLC
- Safeway Inc (Safeway Pharmacy #0048)
- Safeway Inc (Safeway Pharmacy #1997)
- Safeway Inc (Safeway Pharmacy #2699)
- Saguaro Speech & Language Services, PLLC (Saguaro Speech AZ)
- Saguaro Speech & Language Services, PLLC
- Harkirat Singh Saini, OD
- Aneela Jacob Sajan, FNP
- Khaleel Salahudeen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.