Individual provider Active NPI

Tara Dianne Crane, AUD

  • Audiologist
  • Romney, WV
National Provider Identifier
1215041736
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001169 Issued in VA
Practice address
25029 Northwestern Pike
Romney, WV 26757-6203
Phone
(304) 822-4334
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00958 MD
Audiologist 231H00000X 2201001169 VA Primary

Addresses

Primary practice location

25029 Northwestern Pike
Romney, WV 26757-6203

Mailing address

25029 Northwestern Pike
Romney, WV 26757-6203
Phone (540) 570-0090

Other practice location 1

2055 Valley Ave
Winchester, VA 22601-2751
Phone (540) 570-0090

Other practice location 2

166 Garber Ln # 2
Winchester, VA 22602-4386
Phone (540) 570-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140808000769 WV Practitioner - Qualified Audiologist 5799851986 Reassigns benefits to 1 organization
I20190417002385 VA Practitioner - Qualified Audiologist 5799851986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2055 Valley Ave
Winchester, VA 22601-2751
Phone (540) 570-0090

25029 Northwestern Pike
Romney, WV 26757-6203
Phone (304) 822-4334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00958MDMDAudiologist
2201001169VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Audiology LLC Audiologist CurrentSince Jun 1, 2014 Accepting new patients
Allegany Hearing and Balance, LLC Audiologist CurrentSince Jun 18, 2008 Accepting new patients

Locations

938 National Hwy
Lavale, MD 21502
Phone (301) 729-1635

166 Garber Ln
#2
Winchester, VA 22602
Phone (540) 570-0090

166 Garber Ln
Ste 2
Winchester, VA 22602

2055 Valley Ave
Winchester, VA 22601
Phone (540) 535-8636

25029 Northwestern Pike
Romney, WV 26757
Phone (304) 822-4334

Organizations & group practices 2

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1215041736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25029 NORTHWESTERN PIKE",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267576203",
            "telephone_number": "540-570-0090",
            "fax_number": "304-822-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25029 NORTHWESTERN PIKE",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267576203",
            "telephone_number": "304-822-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Valley Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012751",
            "country_code": "US",
            "telephone_number": "540-570-0090",
            "fax_number": "304-822-4452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Garber Ln # 2",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226024386",
            "country_code": "US",
            "telephone_number": "540-570-0090",
            "fax_number": "304-822-4452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANE",
        "first_name": "TARA",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00958",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romney, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.