Active NPI
Drucella Wachob
- Hearing Instrument Specialist
- Abingdon, VA
National Provider Identifier
1295438646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2101002667
- Practice address
- 859 Colonial Rd SW
Abingdon, VA 24210-2446 - Phone
- (276) 623-2333
- NPI assigned
- Mar 24, 2023
- Last updated
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2101002667 | VA | Primary |
Addresses
Primary practice location
859 Colonial Rd SW
Abingdon, VA 24210-2446
Mailing address
4142 S 7TH St
Terre Haute, IN 47802-4123
Phone (812) 243-4622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101002667 | VA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1295438646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4142 S 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024123",
"telephone_number": "812-243-4622",
"fax_number": "800-524-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 COLONIAL RD SW",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102446",
"telephone_number": "276-623-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACHOB",
"first_name": "DRUCELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "VA",
"license": "2101002667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
- Virginia in Home Assistants, LLC
- Virginia Pac Services PC
- Virginia Sports and Chiropractic LLC
- David Brendon Vogel, DO
- Joshua Von Castle, LPC
- James Meron Wade, MD
- Dianne Michelle Wagner, MD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0154)
- Wal-Mart Stores East, LP (Walmart Vision Center 30-0154)
- Walgreen Co (Rite Aid #1195)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.