Individual provider Active NPI

Sara A Conrad, AUD

  • Audiologist-Hearing Aid Fitter
  • Lewes, DE
National Provider Identifier
1831452275
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
O2-0000231 Issued in DE
Practice address
17577 Nassau Commons Blvd Ste 103
Lewes, DE 19958-6288
Phone
(302) 645-7603
Fax
(302) 645-7604
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 2201001490 VA
Audiologist-Hearing Aid Fitter 237600000X O2-0000231 DE Primary

Addresses

Primary practice location

17577 Nassau Commons Blvd Ste 103
Lewes, DE 19958-6288

Mailing address

17577 Nassau Commons Blvd Ste 103
Lewes, DE 19958-6288
Phone (302) 645-7603

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@baysideaudiology.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019001953 DE Practitioner - Qualified Audiologist 7214184597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayside Audiology and Hearing Aid Services, LLCGroup PAC ID 1052473436, 3 clinicians

Practice addresses (Care Compare)

17577 Nassau Commons Blvd
Suite 103
Lewes, DE 19958-6288
Phone (302) 645-7603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
O2-0000231DEMDAudiologist-Hearing Aid Fitter

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1831452275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17577 NASSAU COMMONS BLVD STE 103",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586288",
            "telephone_number": "302-645-7603",
            "fax_number": "302-645-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17577 NASSAU COMMONS BLVD STE 103",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586288",
            "telephone_number": "302-645-7603",
            "fax_number": "302-645-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "SARA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2201001490",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "DE",
            "license": "O2-0000231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@baysideaudiology.com",
            "affiliation": "N",
            "address_1": "17577 Nassau Commons Blvd Ste 103",
            "city": "Lewes",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199586288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.