Active NPI
Desirae L Vobr, MA, CCC-A
- Audiologist
- Winner, SD
National Provider Identifier
1972603470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 312A
- Practice address
- 417 S Main St
Winner, SD 57580-1794 - Phone
- (605) 842-1209
- NPI assigned
- Sep 24, 2006
- 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 | 312A | SD | Primary |
Addresses
Primary practice location
417 S Main St
Winner, SD 57580-1794
Mailing address
417 S Main St
Winner, SD 57580-1794
Phone (605) 842-1209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 6, 2019 through Jun 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312A | SD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desirae Lynne Vobr | Current | Accepting new patients |
Locations
417 S Main St
Winner, SD 57580
Phone (605) 842-1209
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.
-
- Hearing and Speech Clinic/Center
- Winner, SD
- NPI 1558019950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1972603470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 S MAIN ST",
"city": "WINNER",
"state": "SD",
"postal_code": "575801794",
"telephone_number": "605-842-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 S MAIN ST",
"city": "WINNER",
"state": "SD",
"postal_code": "575801794",
"telephone_number": "605-842-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOBR",
"first_name": "DESIRAE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MA, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SD",
"license": "312A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winner, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.