Active NPI
Sandra Wagner
- Hearing Aid Equipment
- Viera, FL
National Provider Identifier
1982120440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- License
- AS2747
- Practice address
- 8085 Spyglass Hill Road
Viera, FL 32940 - Phone
- (321) 253-6310
- Fax
- (321) 751-6798
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | AS2747 | FL | Primary |
Addresses
Primary practice location
8085 Spyglass Hill Road
Viera, FL 32940
Mailing address
8085 Spyglass Hill Road
Viera, FL 32940
Phone (321) 253-6310
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS2747 | FL | MD | Hearing Aid Equipment |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1982120440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8085 SPYGLASS HILL ROAD",
"city": "VIERA",
"state": "FL",
"postal_code": "32940",
"telephone_number": "321-253-6310",
"fax_number": "321-751-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8085 SPYGLASS HILL ROAD",
"city": "VIERA",
"state": "FL",
"postal_code": "32940",
"telephone_number": "321-253-6310",
"fax_number": "321-751-6798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "FL",
"license": "AS2747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.