Individual provider Active NPI

Gabrielle Sadowsky

  • Audiologist-Hearing Aid Fitter
  • Phoenix, AZ
National Provider Identifier
1962407619
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA1350 Issued in AZ
Practice address
2702 N 3Rd St
Ste 1014
Phoenix, AZ 85004-1130
Phone
(602) 279-0003
NPI assigned
Jun 18, 2005
Last updated
Jun 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA1350 AZ
Audiologist 231H00000X 5965 NM
Audiologist-Hearing Aid Fitter 237600000X DA1350 AZ Primary
Audiologist-Hearing Aid Fitter 237600000X 5965 NM

Addresses

Primary practice location

2702 N 3Rd St
Ste 1014
Phoenix, AZ 85004-1130

Mailing address

1101 Brickell Ave
Suite: 401 - North Tower
Miami, FL 33131-3105

Other identifiers 5

IdentifierTypeStateIssuer
AZ0901110OtherAZBLUE CROSS BLUE SHIELD OF ARIZONA
621921MedicaidAZ
640004720OtherAZRAILROAD MEDICARE
01089518OtherAZASHA CERTIFICATION
DA1350OtherAZSTATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
DA1350AZMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
National Hearing and Balance, LLC. Audiologist CurrentSince Apr 5, 2022 Accepting new patients
Lifestyle Hearing Corporation USA Inc Audiologist Past Accepting new patients
Sonus-USA, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1962407619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRICKELL AVE",
            "address_2": "SUITE: 401 - NORTH TOWER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 N 3RD ST",
            "address_2": "STE 1014",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041130",
            "telephone_number": "602-279-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADOWSKY",
        "first_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-18",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA1350",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "5965",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA1350",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "5965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ARIZONA",
            "identifier": "AZ0901110",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621921",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "640004720",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "01089518",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DA1350",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.