Individual provider Active NPI

Terri LC Schenkein, PH.D

  • Audiologist
  • Prince George, VA
National Provider Identifier
1063620052
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001300 Issued in VA
Practice address
4700 Puddledock Rd Ste 100
Prince George, VA 23875-1268
Phone
(804) 484-3735
Fax
(804) 320-6462
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001300 VA Primary

Addresses

Primary practice location

4700 Puddledock Rd Ste 100
Prince George, VA 23875-1268

Mailing address

PO Box 36007
North Chesterfield, VA 23235-8000
Phone (804) 484-3700

Other practice location 1

161 Wadsworth Dr
Richmond, VA 23236-4500
Phone (804) 484-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000268 VA Practitioner - Qualified Audiologist 9032280201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Ear Nose and Throat Associates PCGroup PAC ID 6901794999, 32 clinicians

Practice addresses (Care Compare)

161 Wadsworth Dr
North Chesterfield, VA 23236-4500
Phone (804) 484-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Ear Nose & Throat Associates PC CurrentSince Jun 20, 2009 Accepting new patients
Virginia Ear, Nose and Throat Associates PastSince Dec 5, 2021 Accepting new patients

Locations

7485 Right Flank Rd
Ste 210
Mechanicsville, VA 23116

15350 E West Rd
Midlothian, VA 23114

161 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 484-3702

4700 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 484-3735

3450 Mayland Ct
Richmond, VA 23233

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1063620052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36007",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232358000",
            "telephone_number": "804-484-3700",
            "fax_number": "804-323-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 PUDDLEDOCK RD STE 100",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751268",
            "telephone_number": "804-484-3735",
            "fax_number": "804-320-6462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Wadsworth Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232364500",
            "country_code": "US",
            "telephone_number": "804-484-3700",
            "fax_number": "804-323-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHENKEIN",
        "first_name": "TERRI",
        "middle_name": "LC",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.