Active NPI
Valerie Ann Fitzgibbons, MA CCCA
- Audiologist-Hearing Aid Fitter
- Walnut Creek, CA
National Provider Identifier
1003955147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- HA3674AU1722
- Practice address
- 1776 Ygnacio Valley Road
Suite 110
Walnut Creek, CA 94598 - Phone
- (925) 933-2699
- Fax
- (925) 933-2797
- NPI assigned
- Feb 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | HA3674AU1722 | CA | Primary |
Addresses
Primary practice location
1776 Ygnacio Valley Road
Suite 110
Walnut Creek, CA 94598
Mailing address
1776 Ygnacio Valley Road
Suite 110
Walnut Creek, CA 94598
Phone (925) 933-2699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0017220 | Other | CA | STATE OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080529000721 | CA | Practitioner - Qualified Audiologist | 9032008693 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA3674AU1722 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Fitzgibbons and Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hearing Instrument Specialist
- Walnut Creek, CA
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- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003955147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 YGNACIO VALLEY ROAD",
"address_2": "SUITE 110",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94598",
"telephone_number": "925-933-2699",
"fax_number": "925-933-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 YGNACIO VALLEY ROAD",
"address_2": "SUITE 110",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94598",
"telephone_number": "925-933-2699",
"fax_number": "925-933-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGIBBONS",
"first_name": "VALERIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MA CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "HA3674AU1722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA",
"identifier": "AU0017220",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.