Individual provider Active NPI

Sarah Katherine Black, AUD

  • Audiologist
  • Statesville, NC
National Provider Identifier
1972153245
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
13821 Issued in NC
Practice address
703 Bryant St
Statesville, NC 28677-4142
Phone
(704) 452-7217
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028002647 NC Practitioner - Qualified Audiologist 5597097378 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13821NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Hearing and Tinnitus, PC CurrentSince Sep 23, 2019 Accepting new patients
Hearing Services & Hearing Aid Center, Inc. PastSince Sep 25, 2019 Accepting new patients

Locations

703 Bryant St
Statesville, NC 28677
Phone (704) 872-1670

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 13821 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

703 Bryant St
Statesville, NC 28677-4142

Mailing address

703 Bryant St
Statesville, NC 28677-4142
Phone (704) 452-7217

Other practice location 1

114 Morlake Dr Ste 101A
Mooresville, NC 28117-9209
Phone (704) 412-7196

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2019.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1972153245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BRYANT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774142",
            "telephone_number": "704-452-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BRYANT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774142",
            "telephone_number": "704-452-7217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Morlake Dr Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179209",
            "country_code": "US",
            "telephone_number": "704-412-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SARAH",
        "middle_name": "KATHERINE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "13821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.