Active NPI
Sandra Blomlie, AUDIOLOGIST
- Audiologist
- Oshkosh, WI
National Provider Identifier
1902558869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 384 S Koeller St
Oshkosh, WI 54902-5546 - Phone
- (920) 233-3307
- NPI assigned
- Jan 21, 2022
- 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 | Primary |
Addresses
Primary practice location
384 S Koeller St
Oshkosh, WI 54902-5546
Mailing address
384 S Koeller St
Oshkosh, WI 54902-5546
Other practice location 1
384 S Koeller St
Oshkosh, WI 54902-5546
Phone (920) 233-3307
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1902558869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 S KOELLER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549025546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 S KOELLER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549025546",
"telephone_number": "920-233-3307"
}
],
"practiceLocations": [
{
"address_1": "384 S Koeller St",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549025546",
"country_code": "US",
"telephone_number": "920-233-3307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOMLIE",
"first_name": "SANDRA",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.