Individual provider Active NPI

Sarah Grace Fitch, AU.D

  • Audiologist
  • Newberg, OR
National Provider Identifier
1699959429
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30792 Issued in OR
Practice address
310 Villa Rd Ste 101
Newberg, OR 97132-1886
Phone
(503) 537-3546
NPI assigned
Dec 28, 2007
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-981 WY
Audiologist 231H00000X 30792 OR Primary
Assistive Technology Practitioner Audiologist 231HA2400X A-981 WY
Assistive Technology Practitioner Audiologist 231HA2400X 30792 OR
Assistive Technology Supplier Audiologist 231HA2500X A-981 WY
Assistive Technology Supplier Audiologist 231HA2500X 30792 OR
Audiologist-Hearing Aid Fitter 237600000X A-981 WY
Audiologist-Hearing Aid Fitter 237600000X 30792 OR
Hearing Instrument Specialist 237700000X A-981 WY

Addresses

Primary practice location

310 Villa Rd Ste 101
Newberg, OR 97132-1886

Mailing address

310 Villa Rd Ste 101
Newberg, OR 97132-1886
Phone (503) 537-3546

Other identifiers 1

IdentifierTypeStateIssuer
500669533MedicaidOR

Other names 1

  • Dr. Sarah Grace Fitch Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129003558 OR Practitioner - Qualified Audiologist 9739446758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30792ORMDAssistive Technology Practitioner Audiologist
A-981WYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Feb 18, 2020 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients

Locations

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

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, 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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1699959429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 VILLA RD STE 101",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321886",
            "telephone_number": "503-537-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 VILLA RD STE 101",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321886",
            "telephone_number": "503-537-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "SARAH",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WY",
            "license": "A-981",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "30792",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "WY",
            "license": "A-981",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "OR",
            "license": "30792",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "WY",
            "license": "A-981",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "OR",
            "license": "30792",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WY",
            "license": "A-981",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "30792",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WY",
            "license": "A-981",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500669533",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "FITCH",
            "middle_name": "GRACE",
            "prefix": "DR.",
            "credential": "AU.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.

Verify at the official NPI Registry.