Individual provider Active NPI

Sarah Obarowski Licht, AU.D.

  • Audiologist
  • Woodstock, GA
National Provider Identifier
1821448564
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD004032 Issued in GA
Practice address
203 Woodpark PL Ste B100
Woodstock, GA 30188-3758
Phone
(770) 726-8948
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD004032 GA Primary

Addresses

Primary practice location

203 Woodpark PL Ste B100
Woodstock, GA 30188-3758

Mailing address

203 Woodpark PL
Suite B-100
Woodstock, GA 30188-3705
Phone (770) 726-8948

Other practice location 1

4045 Johns Creek Pkwy
Suite B
Johns Creek, GA 30024-1217
Phone (770) 814-1260

Other identifiers 1

IdentifierTypeStateIssuer
AUD004032OtherGAGEORGIA LICENSURE BOARD

Other names 1

  • Dr. Sarah Nicole Obarowski Former name

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821448564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WOODPARK PL",
            "address_2": "SUITE B-100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883705",
            "telephone_number": "770-726-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WOODPARK PL STE B100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883758",
            "telephone_number": "770-726-8948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4045 Johns Creek Pkwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300241217",
            "country_code": "US",
            "telephone_number": "770-814-1260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHT",
        "first_name": "SARAH",
        "middle_name": "OBAROWSKI",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSURE BOARD",
            "identifier": "AUD004032",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "OBAROWSKI",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.