Individual provider Active NPI

Stacey Claire Snow, AU.D.

  • Audiologist
  • Murray, UT
National Provider Identifier
1710319058
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
8745012-4101 Issued in UT
Practice address
5770 S 250 E
#285
Murray, UT 84107-8100
Phone
(801) 268-2822
Fax
(801) 268-2832
NPI assigned
Aug 8, 2013
Last updated
Aug 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 8745012-4101 UT Primary

Addresses

Primary practice location

5770 S 250 E
#285
Murray, UT 84107-8100

Mailing address

4000 S 700 E
#10
Salt Lake City, UT 84107-2180
Phone (801) 268-4141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000876 UT Practitioner - Qualified Audiologist 0648414078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Professional Association ServicesGroup PAC ID 8921053349, 18 clinicians

Practice addresses (Care Compare)

4000 S 700
Suite 10
Salt Lake City, UT 84107-2580
Phone (801) 268-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Professional Association Services CurrentSince Apr 24, 2018 Accepting new patients
Hearing Screening Associates LLC Audiologist Past Accepting new patients

Locations

96 E Kimballs Ln
Ste 309
Draper, UT 84020
Phone (801) 260-3687

5770 S 250 E
Ste 415
Salt Lake City, UT 84107
Phone (801) 268-2822

4000 S 7th E
Ste 10
Salt Lake Cty, UT 84107
Phone (801) 268-4141

5770 S 250 E
Ste 285
Salt Lake Cty, UT 84107
Phone (801) 268-2822

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": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1710319058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S 700 E",
            "address_2": "#10",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072180",
            "telephone_number": "801-268-4141",
            "fax_number": "877-357-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 250 E",
            "address_2": "#285",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078100",
            "telephone_number": "801-268-2822",
            "fax_number": "801-268-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "STACEY",
        "middle_name": "CLAIRE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "8745012-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.