Individual provider Active NPI

Sally Vollner

  • Audiologist
  • Blue Ash, OH
National Provider Identifier
1992104236
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.01918 Issued in OH
Practice address
9525 Kenwood Rd Ste 2
Blue Ash, OH 45242-6191
Phone
(513) 791-0729
Fax
(513) 791-0673
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.01918 OH Primary

Addresses

Primary practice location

9525 Kenwood Rd Ste 2
Blue Ash, OH 45242-6191

Mailing address

215 Shuman Blvd
Ste. 401
Naperville, IL 60563-8458
Phone (630) 303-5380

Other practice location 1

9525 Kenwood Rd Ste 2
Blue Ash, OH 45242-6191
Phone (513) 791-0729

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
A.01918OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing, Inc. Audiologist PastSince Jan 19, 2020 Accepting new patients

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1992104236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "STE. 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638458",
            "telephone_number": "630-303-5380",
            "fax_number": "978-313-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 KENWOOD RD STE 2",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426191",
            "telephone_number": "513-791-0729",
            "fax_number": "513-791-0673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9525 Kenwood Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452426191",
            "country_code": "US",
            "telephone_number": "513-791-0729",
            "fax_number": "513-791-0673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLLNER",
        "first_name": "SALLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.