Wagoner LLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

WAGONER LLC

Doing business as

Alexandria Audiology

Practice address

4660 Kenmore Ave Ste 409
Alexandria, VA 22304-1306

Phone

(703) 823-3336

Fax

(703) 823-4684

NPI assigned

Sep 15, 2019

Last updated

Sep 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie K Wagoner, AUDNPI 1740565845

Title

Owner/Aud

Phone

(703) 823-3336

Specialties & licenses 1

Addresses

Other names 1

• Alexandria Audiology Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Kristen Wagoner, AUD

  • Audiologist-Hearing Aid Fitter
  • Alexandria, VA
  • NPI 1740565845

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568505600000",
    "number": "1073163713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 409",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-823-3336",
            "fax_number": "703-823-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 409",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-823-3336",
            "fax_number": "703-823-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGONER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A",
        "authorized_official_last_name": "WAGONER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/AUD",
        "authorized_official_telephone_number": "703-823-3336",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexandria Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey David Wagman, D.D.S.
• Wagner Autism Growth LLC
• Kaitlynn Nicole Wagner, CCC-SLP
• Margaret Mary-Rose Wagner
• Megan Elizabeth Wagner, LBA, BCBA
• Julie Kristen Wagoner, AUD
• Shaquira Wakefield, LCSW-C
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2258)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2194)
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5753)

• Audiologist-Hearing Aid Fitter in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Audiologist-Hearing Aid Fitter in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.

Verify at the official NPI Registry.