Individual provider Active NPI

Sarah L. Moore, AUD

  • Audiologist
  • Brattleboro, VT
National Provider Identifier
1982959821
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1450114555 Issued in VT
Practice address
130 Austine Dr Ste 210
Brattleboro, VT 05301-6994
Phone
(028) 254-3922
Fax
(802) 258-9512
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Audiologist 231H00000X SP-986-AU MA
Audiologist 231H00000X 1450114555 VT Primary

Addresses

Primary practice location

130 Austine Dr Ste 210
Brattleboro, VT 05301-6994

Mailing address

130 Austine Dr Ste 210
Brattleboro, VT 05301-6994
Phone (802) 254-3922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120924000156 MA Practitioner - Qualified Audiologist 2961650577 Reassigns benefits to 1 organization
I20140124001679 VT Practitioner - Qualified Audiologist 2961650577 Reassigns benefits to 1 organization
I20200602001762 NH Practitioner - Qualified Audiologist 2961650577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brattleboro Hearing Center IncGroup PAC ID 9234453200, 5 clinicians

Practice addresses (Care Compare)

130 Austine Dr
Suite 210
Brattleboro, VT 05301-6994
Phone (802) 254-3922

217 Old Homestead Hwy
Suite G
Swanzey, NH 03446-9902
Phone (603) 354-3325

329 Conway St
Suite 222
Greenfield, MA 01301-1521
Phone (413) 773-5119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-986-AUMAMDAudiologist
1450114555VTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brattleboro Hearing Center Inc CurrentSince Sep 4, 2014 Accepting new patients

Locations

329 Conway St
Ste 222
Greenfield, MA 01301
Phone (413) 773-5119

217 Old Homestead Hwy
Ste G
Swanzey, NH 03446
Phone (603) 354-3325

130 Austine Dr
Ste 210
Brattleboro, VT 05301
Phone (802) 254-3922

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1982959821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AUSTINE DR STE 210",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016994",
            "telephone_number": "802-254-3922",
            "fax_number": "802-258-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 AUSTINE DR STE 210",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016994",
            "telephone_number": "028-254-3922",
            "fax_number": "802-258-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SARAH",
        "middle_name": "L.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "SP-986-AU",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VT",
            "license": "1450114555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.