Active NPI
Travis Stehouwer
- Audiologist
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001681
- Practice address
- 300 N Washington St Ste 102a
Falls Church, VA 22046-3441 - Phone
- (703) 237-2716
- NPI assigned
- Sep 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01437 | MD | |
| Audiologist-Hearing Aid Fitter | 237600000X | VA | ||
| Audiologist | 231H00000X | 2201001681 | VA | Primary |
Addresses
Primary practice location
300 N Washington St Ste 102a
Falls Church, VA 22046-3441
Mailing address
1320 Old Chain Bridge Rd Ste 185
MC Lean, VA 22101-3945
Phone (703) 942-8110
Other practice location 1
133 Rollins Ave Ste 2
Rockville, MD 20852-4040
Phone (301) 468-7670
Other practice location 2
1320 Old Chain Bridge Rd Ste 180
Mc Lean, VA 22101-3919
Phone (703) 942-8110
Other practice location 3
1320 Old Chain Bridge Rd Ste 185
Mc Lean, VA 22101
Phone (703) 942-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 N Washington St
Suite 102a
Falls Church, VA 22046-3441
Phone (703) 237-0163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01437 | MD | MD | Audiologist |
| 2201001681 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Had Management LLC | Audiologist | Current | Accepting new patients |
Locations
133 Rollins Ave
Ste 2
Rockville, MD 20852
Phone (301) 231-9520
3930 Pender Dr
Ste 140
Fairfax, VA 22030
Phone (571) 432-0640
300 N Washington St
Ste 102A
Falls Church, VA 22046
Phone (703) 237-0163
1320 Old Chain Bridge Rd
Ste 180
Mc Lean, VA 22101
Phone (703) 942-8110
1320 Old Chain Bridge Rd
Ste 185
McLean, VA 22101
Phone (703) 866-8819
46045 Palisade Pkwy
Ste 200
Potomac Falls, VA 20165
Phone (703) 723-9672
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1073022315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 OLD CHAIN BRIDGE RD STE 185",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013945",
"telephone_number": "703-942-8110",
"fax_number": "703-942-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N WASHINGTON ST STE 102A",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463441",
"telephone_number": "703-237-2716"
}
],
"practiceLocations": [
{
"address_1": "133 Rollins Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208524040",
"country_code": "US",
"telephone_number": "301-468-7670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 Old Chain Bridge Rd Ste 180",
"address_purpose": "LOCATION",
"city": "Mc Lean",
"state": "VA",
"postal_code": "221013919",
"country_code": "US",
"telephone_number": "703-942-8110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 Old Chain Bridge Rd Ste 185",
"address_purpose": "LOCATION",
"city": "Mc Lean",
"state": "VA",
"postal_code": "22101",
"country_code": "US",
"telephone_number": "703-942-8110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEHOUWER",
"first_name": "TRAVIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01437",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.