Active NPI
Carol Irene Sayre, AU.D.
- Audiologist
- Salem, OR
National Provider Identifier
1700937703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 21797
- Practice address
- 2521 Boone Rd SE Ste 120
Salem, OR 97306-9675 - Phone
- (971) 701-6322
- Fax
- (971) 915-2689
- NPI assigned
- Jan 16, 2007
- 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-Hearing Aid Fitter | 237600000X | 21797 | OR | |
| Audiologist | 231H00000X | 21797 | OR | Primary |
Addresses
Primary practice location
2521 Boone Rd SE Ste 120
Salem, OR 97306-9675
Mailing address
2521 Boone Rd SE Ste 120
Salem, OR 97306-9675
Phone (971) 701-6322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21797 | OR | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Audiology Clinic, Inc | Audiologist | Current | Accepting new patients |
| MLM USA LLC | Audiologist | Past | Accepting new patients |
Locations
3857 Wolverine St NE
#16C
Salem, OR 97305
Phone (503) 588-1039
2521 Boone Rd SE
Ste 120
Salem, OR 97306
Phone (971) 701-6322
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": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1700937703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 BOONE RD SE STE 120",
"city": "SALEM",
"state": "OR",
"postal_code": "973069675",
"telephone_number": "971-701-6322",
"fax_number": "971-915-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 BOONE RD SE STE 120",
"city": "SALEM",
"state": "OR",
"postal_code": "973069675",
"telephone_number": "971-701-6322",
"fax_number": "971-915-2689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYRE",
"first_name": "CAROL",
"middle_name": "IRENE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OR",
"license": "21797",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "21797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.