Active NPI
Sarah Obarowski Licht, AU.D.
- Audiologist
- Woodstock, GA
National Provider Identifier
1821448564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD004032
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AUD004032 | Other | GA | GEORGIA LICENSURE BOARD |
Other names 1
- Dr. Sarah Nicole Obarowski
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.