Active NPI
Sara A Conrad, AUD
- Audiologist-Hearing Aid Fitter
- Lewes, DE
National Provider Identifier
1831452275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- O2-0000231
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@baysideaudiology.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| O2-0000231 | DE | MD | Audiologist-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.
-
- Audiologist-Hearing Aid Fitter
- Lewes, DE
- NPI 1962651299
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.