Active NPI
Marie A. Church, MASTER'S DEGREE
- Audiologist
- Blacksburg, VA
National Provider Identifier
1023260866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201000327
- Practice address
- 3607 S Main St
Blacksburg, VA 24060-7014 - Phone
- (540) 381-6967
- Fax
- (540) 381-6968
- NPI assigned
- Oct 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 2101000520 | VA | |
| Audiologist | 231H00000X | 2201000327 | VA | Primary |
Addresses
Primary practice location
3607 S Main St
Blacksburg, VA 24060-7014
Mailing address
85 Cleburne Blvd
Dublin, VA 24084-4435
Phone (540) 674-4889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201000327 | VA | MD | Audiologist |
| 2101000520 | VA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tilley Chiropractic and Sports Injury Clinic | Past | Accepting new patients | |
| The Hearing Clinic | Audiologist | Past | Accepting new patients |
| Audigycare, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Audiologist-Hearing Aid Fitter
- Dublin, VA
- NPI 1629168414
-
- Audiologist
- Blacksburg, VA
- NPI 1023116795
-
- Chiropractor
- Blacksburg, VA
- NPI 1871763763
-
- Audiologist-Hearing Aid Fitter
- Vancouver, WA
- NPI 1720364920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1023260866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 CLEBURNE BLVD",
"city": "DUBLIN",
"state": "VA",
"postal_code": "240844435",
"telephone_number": "540-674-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3607 S MAIN ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607014",
"telephone_number": "540-381-6967",
"fax_number": "540-381-6968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "MARIE",
"middle_name": "A.",
"credential": "MASTER'S DEGREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "VA",
"license": "2101000520",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201000327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.