Mavis W Garrett, AU.D.,

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201000195 Issued in VA

Practice address

703 Thimble Shoals Blvd Ste C-3
Newport News, VA 23606-2576

Phone

(757) 873-8794

Fax

(757) 873-5734

NPI assigned

Feb 14, 2007

Last updated

Dec 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maico Audiological Services

  dba Raleigh Hearing & Tinnitus Center

  • Hearing Aid Equipment
  • Newport News, VA
  • NPI 1275690497

  Audiologist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1326181108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD STE C-3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062576",
            "telephone_number": "757-873-8794",
            "fax_number": "757-873-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD STE C-3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062576",
            "telephone_number": "757-873-8794",
            "fax_number": "757-873-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "MAVIS",
        "middle_name": "W",
        "credential": "AU.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000195",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101000379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace Kirby Garner, MD
• Charlotte E Garnes, LPC
• Haralambos Bobby Garofalis, DDS
• Elena Cuticelli Garrett, MD
• Gwendolyn G Garrett, MAOTR
• Veda Demetris Garrett, RRT
• Jason T Garrison, MD
• Kathryn Gary
• Jacqueline Victoria Gaston
• Kilani Kristen Gaston, DPT

• Audiologist in Newport News, VA
• Providers in Newport News, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.