NPIMap

Organization Active NPI

Greenbrier Audiology and Hearing Aid Services, Inc.

  • Audiologist
  • Lewisburg, WV
National Provider Identifier
1114006087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-003 Issued in WV
Legal business name
GREENBRIER AUDIOLOGY AND HEARING AID SERVICES, INC.
Practice address
150 Dawkins Dr
Grey Rock Professional Park
Lewisburg, WV 24901-9302
Phone
(304) 647-4327
Fax
(304) 647-4331
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laura Stout I, M.S.,CCC-ANPI 1699784264
Title
Audiologist
Phone
(304) 465-3058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-003 WV Primary

Addresses

Primary practice location

150 Dawkins Dr
Grey Rock Professional Park
Lewisburg, WV 24901-9302

Mailing address

150 Dawkins Dr
Grey Rock Professional Park
Lewisburg, WV 24901-9302
Phone (304) 647-4327

Other identifiers 1

IdentifierTypeStateIssuer
0160752000MedicaidWV

National Provider Directory

National Provider Directory

Locations

150 Dawkins Dr
Grey Rock Professional Park
Lewisburg, WV 24901
Phone (304) 647-4327

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114006087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DAWKINS DR",
            "address_2": "GREY ROCK PROFESSIONAL PARK",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019302",
            "telephone_number": "304-647-4327",
            "fax_number": "304-647-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DAWKINS DR",
            "address_2": "GREY ROCK PROFESSIONAL PARK",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019302",
            "telephone_number": "304-647-4327",
            "fax_number": "304-647-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER AUDIOLOGY AND HEARING AID SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "304-465-3058",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.S.,CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160752000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.