Donna Proctor Ettinger, M.ED., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201000229 Issued in VA

Practice address

8350 Richmond Hwy
Suite 233
Alexandria, VA 22309-2300

Phone

(703) 704-6159

Fax

(703) 704-6671

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Donna Louise Proctor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124241799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15608 PEYTON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161682",
            "telephone_number": "301-390-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY",
            "address_2": "SUITE 233",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092300",
            "telephone_number": "703-704-6159",
            "fax_number": "703-704-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTINGER",
        "first_name": "DONNA",
        "middle_name": "PROCTOR",
        "credential": "M.ED., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "PROCTOR",
            "middle_name": "LOUISE",
            "credential": "M.ED., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.