Organization Active NPI

Roanoke Valley Speech and Hearing Center, Inc.

  • Audiologist
  • Roanoke, VA
National Provider Identifier
1386837250
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000601 Issued in VA
Legal business name
ROANOKE VALLEY SPEECH AND HEARING CENTER, INC.
Practice address
2030 Colonial Ave SW
Roanoke, VA 24015-3204
Phone
(540) 343-0165
Fax
(540) 345-4664
NPI assigned
Aug 23, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ms. J. Andree' Brooks
Title
President
Phone
(540) 343-0165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201000601 VA Primary

Addresses

Primary practice location

2030 Colonial Ave SW
Roanoke, VA 24015-3204

Mailing address

2030 Colonial Ave SW
Roanoke, VA 24015-3204
Phone (540) 343-0165

Other identifiers 2

IdentifierTypeStateIssuer
247018OtherVAANTHEM
7602827OtherVAAETNA

National Provider Directory

National Provider Directory
Tax ID family
Roanoke Valley Speech and Hearing Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1386837250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 COLONIAL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153204",
            "telephone_number": "540-343-0165",
            "fax_number": "540-345-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 COLONIAL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153204",
            "telephone_number": "540-343-0165",
            "fax_number": "540-345-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE VALLEY SPEECH AND HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "ANDREE'",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-343-0165",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "247018",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7602827",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.