Active NPI
Valerie S. Graham, MS
- Audiologist-Hearing Aid Fitter
- Clarksburg, WV
National Provider Identifier
1114957982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- A0032
- Practice address
- 110 N 6TH St
Clarksburg, WV 26301-2602 - Phone
- (304) 622-4327
- Fax
- (304) 622-2144
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A0032 | WV | |
| Audiologist-Hearing Aid Fitter | 237600000X | A0032 | WV | Primary |
Addresses
Primary practice location
110 N 6TH St
Clarksburg, WV 26301-2602
Mailing address
110 N 6TH St
Clarksburg, WV 26301-2602
Phone (304) 622-4327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3402009000 | Medicaid | WV | |
| WV00381 | Other | WV | HEALTH PLAN |
Other names 1
- Ms. Valerie A. Shepard
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0032 | WV | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksburg Audiology and Hearing Aid Center LLC | Audiologist | Current | Accepting new patients |
| Ear Nose and Throat Assoc of Clarksburg Inc | Past | Accepting new patients | |
| HLL Enterprise LLC | Audiologist | Past | Accepting new patients |
Locations
110 N 6th St
Clarksburg, WV 26301
Phone (304) 622-4327
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Clarksburg, WV
- NPI 1558507863
-
- Otolaryngology Physician
- Clarksburg, WV
- NPI 1144350943
-
- Audiologist
- Weston, WV
- NPI 1285374223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1114957982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N 6TH ST",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263012602",
"telephone_number": "304-622-4327",
"fax_number": "304-622-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N 6TH ST",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263012602",
"telephone_number": "304-622-4327",
"fax_number": "304-622-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "VALERIE",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WV",
"license": "A0032",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WV",
"license": "A0032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3402009000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "WV00381",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VALERIE",
"last_name": "SHEPARD",
"middle_name": "A.",
"prefix": "MS.",
"credential": "MS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.