Individual provider Active NPI

Andrea Rae Markway, AUD, CCC-A

  • Audiologist
  • Fairfax, VA
National Provider Identifier
1093096976
Registry record updated Aug 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6506 Issued in LA
Practice address
3801 University Dr
2ND Floor
Fairfax, VA 22030-2503
Phone
(703) 383-8130
NPI assigned
Sep 6, 2011
Last updated
Aug 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 6506 LA Primary

Addresses

Primary practice location

3801 University Dr
2ND Floor
Fairfax, VA 22030-2503

Mailing address

3275W Alabama St
Houston, TX 77098-1701
Phone (713) 942-8205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707001487 TX Practitioner - Qualified Audiologist 7719142728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80751TXMDCounselor
6506LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lake of the Lake Head and Neck Ce PastSince Jan 1, 2008 Accepting new patients

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439596800000",
    "number": "1093096976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981701",
            "telephone_number": "713-942-8205",
            "fax_number": "713-942-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY DR",
            "address_2": "2ND FLOOR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302503",
            "telephone_number": "703-383-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKWAY",
        "first_name": "ANDREA",
        "middle_name": "RAE",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2015-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "6506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; 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.