Meadowcrest Audiology

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

MEADOWCREST AUDIOLOGY

Practice address

4765 Spotswood TRL
Penn Laird, VA 22846-2004

Phone

(301) 351-8018

NPI assigned

Aug 6, 2021

Last updated

Nov 10, 2021By 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

Kathleen Culbertson, AUDNPI 1164951323

Title

Audiologist/Owner

Phone

(301) 351-8018

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Kathleen A Culbertson, AUD

  • Audiologist
  • Penn Laird, VA
  • NPI 1164951323
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1073287694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CLAYMONT DR",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229361641",
            "telephone_number": "301-351-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 SPOTSWOOD TRL",
            "city": "PENN LAIRD",
            "state": "VA",
            "postal_code": "228462004",
            "telephone_number": "301-351-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWCREST AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "CULBERTSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "301-351-8018",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hudson, ATC
• Amy Elizabeth Kubler
• Rachel Michele Mack
• Dana Conner Mather, PT
• Ashley McLellan, CCC-SLP
• Breanne Metz, M.S., CCC-SLP
• Jennifer Ann Parker, RD
• Briana Reichgott Priester, MT-BC
• David Whitehurst, OTR/L
• Jeanine M Wilson, PA-C

• Hearing and Speech Clinic/Center in Penn Laird, VA
• Providers in Penn Laird, VA by specialty
• Hearing and Speech Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.