Active NPI
Terry Wynne Sanford, MA, CCC-A
- Audiologist
- Stanwood, WA
National Provider Identifier
1710190731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2140
- Practice address
- 7359 267TH St. NW
Suite a
Stanwood, WA 98292 - Phone
- (360) 629-6554
- Fax
- (360) 629-5454
- NPI assigned
- May 7, 2007
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2140 | WA | Primary |
Addresses
Primary practice location
7359 267TH St. NW
Suite a
Stanwood, WA 98292
Mailing address
7359 267TH St. NW
Suite a
Stanwood, WA 98292
Phone (360) 629-6554
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2140 | WA | MD | Audiologist |
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, 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": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710190731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7359 267TH ST. NW",
"address_2": "SUITE A",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "360-629-6554",
"fax_number": "360-629-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7359 267TH ST. NW",
"address_2": "SUITE A",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "360-629-6554",
"fax_number": "360-629-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "TERRY",
"middle_name": "WYNNE",
"credential": "MA, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "2140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.