Active NPI
Vivianne Cisneros Wersel
- Audiologist
- Fort Belvoir, VA
National Provider Identifier
1023221942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5890
- Practice address
- 9501 Farrell Rd
Fort Belvoir, VA 22060-5901 - Phone
- (703) 805-8345
- NPI assigned
- May 7, 2007
- Last updated
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 231H00000X | 5890 | NC | Primary |
Addresses
Primary practice location
9501 Farrell Rd
Fort Belvoir, VA 22060-5901
Mailing address
6496 Powatan Knoll CT
Alexandria, VA 22312-2336
Phone (252) 646-2678
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5890 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1023221942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6496 POWATAN KNOLL CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122336",
"telephone_number": "252-646-2678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 FARRELL RD",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605901",
"telephone_number": "703-805-8345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERSEL",
"first_name": "VIVIANNE",
"middle_name": "CISNEROS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "5890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.