Healthcare Provider Details

I. General information

NPI: 1124913355
Provider Name (Legal Business Name): KATIE SAPIR AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 NW VETERANS ST
LAKE CITY FL
32055-3936
US

IV. Provider business mailing address

183 NW VETERANS ST
LAKE CITY FL
32055-3936
US

V. Phone/Fax

Practice location:
  • Phone: 386-269-1779
  • Fax:
Mailing address:
  • Phone: 386-269-1779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY2992
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberO2-0010337
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: