NPIMap

Individual provider Active NPI

Ashley Nicole Merrifield, AUD

  • Audiologist
  • Blacksburg, VA
National Provider Identifier
1154767093
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001516 Issued in VA
Practice address
920 Plantation Rd Ste 104
Blacksburg, VA 24060-3837
Phone
(540) 552-1904
Fax
(540) 552-2201
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 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 2201001516 VA Primary

Addresses

Primary practice location

920 Plantation Rd Ste 104
Blacksburg, VA 24060-3837

Mailing address

920 Plantation Rd Ste 104
Blacksburg, VA 24060-3837
Phone (540) 552-1904

Other identifiers 2

IdentifierTypeStateIssuer
1154767093MedicaidVA
Q43823AOtherVAPTAN

Other names 1

  • Ashley Nicole Mason 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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2201001516VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing Clinic Audiologist PastSince Sep 15, 2015 Accepting new patients
Tilley Chiropractic and Sports Injury Clinic Past Accepting new patients
Hearusa Inc Past Accepting new patients

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1154767093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PLANTATION RD STE 104",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603837",
            "telephone_number": "540-552-1904",
            "fax_number": "540-552-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PLANTATION RD STE 104",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603837",
            "telephone_number": "540-552-1904",
            "fax_number": "540-552-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIFIELD",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154767093",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Q43823A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MASON",
            "middle_name": "NICOLE",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.