Active NPI
Darrell E Anderson, HIS
- Hearing Instrument Specialist
- Wytheville, VA
National Provider Identifier
1083041453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2101001394
- Practice address
- 680 W Lee Hwy
Wytheville, VA 24382-1708 - Phone
- (276) 228-0866
- Fax
- (540) 674-1666
- NPI assigned
- Oct 1, 2013
- Last updated
- Feb 9, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2101001394 | VA | Primary |
Addresses
Primary practice location
680 W Lee Hwy
Wytheville, VA 24382-1708
Mailing address
85 Cleburne Blvd
Dublin, VA 24084-4435
Phone (540) 674-4889
Other practice location 1
3607 S Main St
Blacksburg, VA 24060-7014
Phone (540) 381-6967
Other practice location 2
8052 Carrollton Pike
Galax, VA 24333-6087
Phone (276) 236-0778
Other practice location 3
85 Cleburne Blvd
Dublin, VA 24084-4435
Phone (540) 674-4889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101001394 | Other | VA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101001394 | VA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739059200000",
"number": "1083041453",
"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",
"fax_number": "540-674-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 W LEE HWY",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821708",
"telephone_number": "276-228-0866",
"fax_number": "540-674-1666"
}
],
"practiceLocations": [
{
"address_1": "3607 S Main St",
"address_purpose": "LOCATION",
"city": "Blacksburg",
"state": "VA",
"postal_code": "240607014",
"country_code": "US",
"telephone_number": "540-381-6967",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8052 Carrollton Pike",
"address_purpose": "LOCATION",
"city": "Galax",
"state": "VA",
"postal_code": "243336087",
"country_code": "US",
"telephone_number": "276-236-0778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "85 Cleburne Blvd",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "VA",
"postal_code": "240844435",
"country_code": "US",
"telephone_number": "540-674-4889",
"fax_number": "540-674-1666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "DARRELL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-01",
"last_updated": "2025-02-09",
"certification_date": "2025-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "VA",
"license": "2101001394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2101001394",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wytheville, VA
- Norman Talbert Abshire Jr., LICENSED OPTICIAN
- Heather Adams, FNP-C
- Kayla Danielle Agee, LPC
- Michelle L Alley, RN
- Amedisys Home Health, Inc. of Virginia (Amedisys Home Health of Wytheville)
- Dionis Kaatri Anderson, LCSW
- Donald R Anderson, MD, FACC, FCCP, COL
- Sarah Elizabeth Anderson, OD
- Roger Lee Andrews Jr., LCSW
- Matthew Thomas Aney, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.