Individual provider Active NPI

Whitney M Eanes, PHD CCC-A

  • Audiologist
  • Martinsville, VA
National Provider Identifier
1265689152
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7413 Issued in NC
Practice address
2690 Greensboro Rd
Martinsville, VA 24112
Phone
(276) 666-6673
Fax
(276) 666-7361
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1212 NC
Audiologist 231H00000X 7413 NC Primary

Addresses

Primary practice location

2690 Greensboro Rd
Martinsville, VA 24112

Mailing address

2690 Greensboro Rd
Martinsville, VA 24112
Phone (276) 666-6673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110502000395 VA Practitioner - Qualified Audiologist 2264591148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martinsville Physician Practices LLCGroup PAC ID 0143233346, 36 clinicians

Practice addresses (Care Compare)

319 Hospital Dr
Suite 204
Martinsville, VA 24112-1948
Phone (276) 632-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7413NCMDProfessional Counselor
1212NCMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Physician Practices LLC CurrentSince Mar 4, 2014 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Mar 4, 2014 Accepting new patients
Ashbrook Audiology and Hearing Aid Center, Inc Audiologist PastSince Oct 1, 2003 Accepting new patients

Locations

2690 Greensboro Rd
Martinsville, VA 24112
Phone (276) 666-6673

319 Hospital Dr
Ste 101
Martinsville, VA 24112
Phone (276) 632-3900

319 Hospital Dr
Ste 204
Martinsville, VA 24112
Phone (276) 632-2999

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: whitney.eanes.1@19847.direct.athenahealth.com

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1265689152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 GREENSBORO RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24112",
            "telephone_number": "276-666-6673",
            "fax_number": "276-666-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 GREENSBORO RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24112",
            "telephone_number": "276-666-6673",
            "fax_number": "276-666-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EANES",
        "first_name": "WHITNEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PHD CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "1212",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "7413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.