Healthcare Provider Details

I. General information

NPI: 1659933893
Provider Name (Legal Business Name): SARA MARIE SOMMERS AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 COLBY AVE STE J
EVERETT WA
98201-4032
US

IV. Provider business mailing address

3125 COLBY AVE STE J
EVERETT WA
98201-4032
US

V. Phone/Fax

Practice location:
  • Phone: 425-791-3093
  • Fax: 425-791-3094
Mailing address:
  • Phone: 425-791-3093
  • Fax: 425-791-3094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: