Individual provider Active NPI

Sarah Ervin Mouser, AU.D., CCC-A

  • Audiologist
  • Lumberton, NC
National Provider Identifier
1811018906
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5705 Issued in NC
Practice address
106 Farm Brook Dr
Ste B
Lumberton, NC 28358-2178
Phone
(910) 738-4856
NPI assigned
Apr 3, 2007
Last updated
Mar 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5705 NC Primary

Addresses

Primary practice location

106 Farm Brook Dr
Ste B
Lumberton, NC 28358-2178

Mailing address

106 Farm Brook Dr
Ste B
Lumberton, NC 28358-2178
Phone (910) 738-4856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141202002472 NC Practitioner - Qualified Audiologist 6204158231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Eye Care PAGroup PAC ID 5496716730, 2 clinicians

Practice addresses (Care Compare)

106 Farm Brook Dr
Suite B
Lumberton, NC 28358-2178
Phone (910) 738-4856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5705NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Eye Care, PA CurrentSince Nov 1, 2014 Accepting new patients

Locations

106 Farm Brook Dr
#B
Lumberton, NC 28358
Phone (910) 738-4856

Interoperability endpoints

  • Direct secure messaging: smouser@southeasterneyecare.intellechartdirect.net

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1811018906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FARM BROOK DR",
            "address_2": "STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582178",
            "telephone_number": "910-738-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FARM BROOK DR",
            "address_2": "STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582178",
            "telephone_number": "910-738-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSER",
        "first_name": "SARAH",
        "middle_name": "ERVIN",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "5705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.