Individual provider Active NPI

Sarah Lundstrom, AU.D.

  • Audiologist
  • Venice, FL
National Provider Identifier
1922476936
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1984 Issued in FL
Practice address
315 Nokomis Ave S
Venice, FL 34285-2417
Phone
(941) 488-4980
Fax
(941) 316-9317
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1984 FL Primary

Addresses

Primary practice location

315 Nokomis Ave S
Venice, FL 34285-2417

Mailing address

315 Nokomis Ave S
Venice, FL 34285-2417
Phone (941) 488-4980

Other names 1

  • Sarah Jacobs Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119001050 FL Practitioner - Qualified Audiologist 7416250808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearcare Audiology Center IncGroup PAC ID 0042274755, 5 clinicians

Practice addresses (Care Compare)

2800 Hillview St
Sarasota, FL 34239-3221
Phone (941) 316-0406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearcare Audiology Center Inc Audiologist CurrentSince Nov 17, 2015 Accepting new patients

Locations

2800 Hillview St
Sarasota, FL 34239
Phone (941) 316-0406

315 Nokomis Ave S
Venice, FL 34285
Phone (941) 477-4007

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1922476936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852417",
            "telephone_number": "941-488-4980",
            "fax_number": "941-316-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852417",
            "telephone_number": "941-488-4980",
            "fax_number": "941-316-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDSTROM",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "JACOBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.