Individual provider Active NPI

Valerie S. Graham, MS

  • Audiologist-Hearing Aid Fitter
  • Clarksburg, WV
National Provider Identifier
1114957982
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A0032 Issued in WV
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

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3402009000MedicaidWV
WV00381OtherWVHEALTH PLAN

Other names 1

  • Ms. Valerie A. Shepard Former name

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

LicenseStateTypeSpecialty
A0032WVMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksburg Audiology and Hearing Aid Center LLC Audiologist CurrentSince Feb 9, 2009 Accepting new patients
Ear Nose and Throat Assoc of Clarksburg Inc Past Accepting new patients
HLL Enterprise LLC Audiologist PastSince Feb 9, 2009 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.

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.

Verify at the official NPI Registry.