Active NPI
Sarah L. Moore, AUD
- Audiologist
- Brattleboro, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1450114555
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NH
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP-986-AU | MA | MD | Audiologist |
| 1450114555 | VT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Hearing Center Inc | Current | 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.
-
- Audiologist-Hearing Aid Fitter
- Brattleboro, VT
- NPI 1265835755
MA, NH, VT
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.