Individual provider Active NPI

Alyssa Heinz, AUD

  • Audiologist
  • Rockville, MD
National Provider Identifier
1194000562
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01235 Issued in MD
Practice address
9420 Key West Ave Ste 310
Rockville, MD 20850-6212
Phone
(301) 315-5888
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01235 MD Primary

Addresses

Primary practice location

9420 Key West Ave Ste 310
Rockville, MD 20850-6212

Mailing address

9420 Key West Ave Ste 310
Rockville, MD 20850-6212
Phone (301) 315-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111019000264 MD Practitioner - Qualified Audiologist 6406028364 Reassigns benefits to 1 organization
I20220721002783 DC Practitioner - Qualified Audiologist 6406028364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Listening Center LLCGroup PAC ID 8325288251, 3 clinicians

Practice addresses (Care Compare)

8 Park Ctr CT
Suite 120
Owings Mills, MD 21117-5676
Phone (443) 544-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01235MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Specialists of Shady Grove, P.C. CurrentSince Jul 18, 2022 Accepting new patients
Taylor Listening Center, LLC CurrentSince Aug 19, 2025 Accepting new patients
Centers for Advanced ENT Care, LLC Audiologist CurrentSince Jul 17, 2022 Accepting new patients

Locations

8 Park Center Ct
Ste 120
Owings Mills, MD 21117
Phone (443) 544-7555

6565 N Charles St
Ste 601
Towson, MD 21204
Phone (410) 821-5151

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": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1194000562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506212",
            "telephone_number": "301-315-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506212",
            "telephone_number": "301-315-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.