Individual provider Active NPI

Sheri L Stoots

  • Audiologist
  • Midlothian, VA
National Provider Identifier
1174722359
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000401 Issued in VA
Practice address
1 Park West Cir Ste 200
Midlothian, VA 23114-5552
Phone
(804) 378-7443
Fax
(804) 378-0744
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201000401 VA Primary

Addresses

Primary practice location

1 Park West Cir Ste 200
Midlothian, VA 23114-5552

Mailing address

4828 Market Square LN
Midlothian, VA 23112-4826
Phone (804) 666-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000510 VA Practitioner - Qualified Audiologist 5890872055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Ear Nose and Throat Specialists PCGroup PAC ID 4284633934, 7 clinicians

Practice addresses (Care Compare)

1 Park W Cir
Suite 200
Midlothian, VA 23114-5552
Phone (540) 345-3556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201000401VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Ear, Nose & Throat Specialists PC CurrentSince May 25, 2020 Accepting new patients

Locations

14051 St Francis Blvd
Ste 2211
Midlothian, VA 23114
Phone (804) 378-7443

1 Park West Cir
Ste 200
Midlothian, VA 23114
Phone (804) 378-7443

1501 Maple Ave
Ste 205
Richmond, VA 23226
Phone (804) 525-4231

Organizations & group practices 1

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1174722359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 MARKET SQUARE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124826",
            "telephone_number": "804-666-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WEST CIR STE 200",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145552",
            "telephone_number": "804-378-7443",
            "fax_number": "804-378-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOOTS",
        "first_name": "SHERI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.