Individual provider Active NPI

Sara Elizabeth Wilkens, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Hixson, TN
National Provider Identifier
1790722726
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AUD003700 Issued in GA
Practice address
1724 Hamill Rd
Suite 102
Hixson, TN 37343-5152
Phone
(423) 267-6738
Fax
(423) 209-9119
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003700 GA
Audiologist-Hearing Aid Fitter 237600000X AUD003700 GA Primary

Addresses

Primary practice location

1724 Hamill Rd
Suite 102
Hixson, TN 37343-5152

Mailing address

1724 Hamill Rd
Suite 102
Hixson, TN 37343-5152
Phone (423) 267-6738

Other identifiers 2

IdentifierTypeStateIssuer
205028716AMedicaidGA
205028716BMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
AUD003700GAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Dalton Ear Nose & Throat Associates Past Accepting new patients
Dalton Ear Nose & Throat Associates Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7297/brand/1/csg/1/fhir/r4

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1790722726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD",
            "address_2": "SUITE 102",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435152",
            "telephone_number": "423-267-6738",
            "fax_number": "423-209-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD",
            "address_2": "SUITE 102",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435152",
            "telephone_number": "423-267-6738",
            "fax_number": "423-209-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKENS",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003700",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD003700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205028716A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205028716B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.