Active NPI
Cheryl Ann Wray, MA
- Audiologist
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001176
- Practice address
- 5818 Harbour View Blvd Ste 230D
Suffolk, VA 23435-3315 - Phone
- (757) 673-6118
- Fax
- (757) 967-9003
- NPI assigned
- Jun 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 2101 001409 | VA | |
| Audiologist | 231H00000X | 2201001176 | VA | Primary |
Addresses
Primary practice location
5818 Harbour View Blvd Ste 230D
Suffolk, VA 23435-3315
Mailing address
860 Omni Blvd
Ste 101
Newport News, VA 23606-4430
Phone (757) 232-8769
Other names 1
- Cheryle Ann Andresen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Ohio State University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 A York Crossing
Grafton, VA 23692
Phone (757) 898-7737
1030 Champions Way
Suffolk, VA 23435-3914
Phone (757) 673-6118
802 Lockwood Ave a
Newport News, VA 23602-4479
Phone (757) 872-9797
860 Omni Blvd
Newport News, VA 23606-4430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001176 | VA | MD | Audiologist |
| 2101 001409 | VA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients | |
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients |
Locations
101 York Crossing Rd
#A
Grafton, VA 23692
Phone (757) 898-7737
827 Diligence Dr
Ste 100
Newport News, VA 23606
860 Omni Blvd
Ste 113
Newport News, VA 23606
Phone (757) 327-0657
729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077
860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138
860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794
802 Lockwood Ave
Ste C
Newport News, VA 23602
Phone (757) 367-8027
5818 Harbour View Blvd
Ste 230D
Suffolk, VA 23435
Phone (757) 673-6118
1030 Champions Way
Suffolk, VA 23435
Phone (757) 673-6118
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGFHDD
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.
-
- Family Medicine Physician
- Newport News, VA
- NPI 1902848294
-
- Ambulatory Surgical Clinic/Center
- Williamsburg, VA
- NPI 1316790512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1356383558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 OMNI BLVD",
"address_2": "STE 101",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064430",
"telephone_number": "757-232-8769",
"fax_number": "757-232-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5818 HARBOUR VIEW BLVD STE 230D",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353315",
"telephone_number": "757-673-6118",
"fax_number": "757-967-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "VA",
"license": "2101 001409",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYLE",
"last_name": "ANDRESEN",
"middle_name": "ANN",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.