Individual provider Active NPI

Carlee Ann Squires, AU.D.

  • Audiologist
  • Parkersburg, WV
National Provider Identifier
1215338181
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-0316 Issued in WV
Practice address
2012 Garfield Ave Ste 4
Parkersburg, WV 26101-2539
Phone
(304) 428-2403
Fax
(304) 428-3270
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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 A-0316 WV Primary

Addresses

Primary practice location

2012 Garfield Ave Ste 4
Parkersburg, WV 26101-2539

Mailing address

2012 Garfield Ave Ste 4
Parkersburg, WV 26101-2539
Phone (304) 428-2403

Other names 1

  • Dr. Carlee Ann Cox Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150108001402 WV Practitioner - Qualified Audiologist 6103149968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Services of West Virginia LLCGroup PAC ID 5294058053, 11 clinicians

Practice addresses (Care Compare)

2012 Garfield Ave
Suite 4
Parkersburg, WV 26101-2541
Phone (304) 428-2403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services of West Virginia, LLC Audiologist CurrentSince Oct 20, 2014 Accepting new patients

Locations

500 Donnally St
Ste 200
Charleston, WV 25301
Phone (304) 340-2200

500 Donnally St
Ste 200B
Charleston, WV 25301
Phone (304) 428-2403

2012 Garfield Ave
Ste 4
Parkersburg, WV 26101
Phone (304) 428-2403

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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1215338181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 GARFIELD AVE STE 4",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012539",
            "telephone_number": "304-428-2403",
            "fax_number": "304-428-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 GARFIELD AVE STE 4",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012539",
            "telephone_number": "304-428-2403",
            "fax_number": "304-428-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "CARLEE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEE",
            "last_name": "COX",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.