Active NPI
Johnna Stoup, AUD
- Audiologist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001884
- Practice address
- 2616 Sherwood Hall LN Ste 408
Alexandria, VA 22306-3154 - Phone
- (703) 780-8929
- Fax
- (703) 921-1056
- NPI assigned
- Jul 18, 2022
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001884 | VA | Primary |
Addresses
Primary practice location
2616 Sherwood Hall LN Ste 408
Alexandria, VA 22306-3154
Mailing address
6355 Walker LN Ste 411
Alexandria, VA 22310-3250
Phone (703) 922-4262
Other practice location 1
6355 Walker Ln Ste 411
Alexandria, VA 22310-3250
Phone (703) 922-4262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2201001884 | Other | VA | VIRGINIA LICENSE |
| 15593720 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | johnna@alexandriahearing.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1635 N George Mason Dr
490 Arlington Prim Care
Arlington, VA 22205-3601
Phone (703) 522-5300
9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001884 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
2616 Sherwood Hall Ln
Ste 408
Alexandria, VA 22306
Phone (703) 780-5073
6355 Walker Ln
Ste 411
Alexandria, VA 22310
Phone (703) 313-0373
Interoperability endpoints
- https://api.platform.athenahealth.com/8220/brand/1/csg/1/fhir/r4
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1346975067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 WALKER LN STE 411",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103250",
"telephone_number": "703-922-4262",
"fax_number": "703-921-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 SHERWOOD HALL LN STE 408",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063154",
"telephone_number": "703-780-8929",
"fax_number": "703-921-1056"
}
],
"practiceLocations": [
{
"address_1": "6355 Walker Ln Ste 411",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223103250",
"country_code": "US",
"telephone_number": "703-922-4262",
"fax_number": "703-921-1056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOUP",
"first_name": "JOHNNA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA LICENSE",
"identifier": "2201001884",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15593720",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "johnna@alexandriahearing.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6355 Walker Ln Ste 411",
"city": "Alexandria",
"state": "VA",
"country_code": "US",
"postal_code": "223103250",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.