Individual provider Active NPI

Ana Anzola, CCC-A

  • Audiologist
  • McLean, VA
National Provider Identifier
1396790945
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000598 Issued in VA
Practice address
1320 Old Chain Bridge Rd Ste 185
MC Lean, VA 22101-3945
Phone
(703) 942-8110
Fax
(301) 231-5171
NPI assigned
May 23, 2006
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00764 MD
Audiologist 231H00000X 2201000598 VA Primary
Audiologist-Hearing Aid Fitter 237600000X 2101001335 VA
Audiologist-Hearing Aid Fitter 237600000X 00764 MD

Addresses

Primary practice location

1320 Old Chain Bridge Rd Ste 185
MC Lean, VA 22101-3945

Mailing address

1320 Old Chain Bridge Rd Ste 185
MC Lean, VA 22101-3945
Phone (703) 942-8110

Other practice location 1

300 N Washington St Ste 102A
Falls Church, VA 22046-3441
Phone (703) 237-2716

Other practice location 2

133 Rollins Ave Ste 2
Rockville, MD 20852-4040
Phone (301) 468-7670

Other practice location 3

1320 Old Chain Bridge Rd Ste 180
Mc Lean, VA 22101-3919
Phone (703) 942-8110

Other practice location 4

3305 N Leisure World Blvd
Silver Spring, MD 20906-1367
Phone (301) 468-7670

Other practice location 5

46045 Palisade Pkwy Ste 200
Potomac Falls, VA 20165-8762
Phone (703) 723-9672

Other practice location 6

3930 Pender Dr Ste 140
Fairfax, VA 22030-0986
Phone (571) 432-0640

Other identifiers 1

IdentifierTypeStateIssuer
Q38918A827OtherVAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061102000177 DC Practitioner - Qualified Audiologist 1658378716 Reassigns benefits to 1 organization
I20120409000042 VA Practitioner - Qualified Audiologist 1658378716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Had Management, LLCGroup PAC ID 9032461892, 6 clinicians

Practice addresses (Care Compare)

1320 Old Chain Bridge Rd
Suite 185
MC Lean, VA 22101-3945
Phone (703) 942-8110

46045 Palisade Pkwy
Suite 200
Potomac Falls, VA 20165-8762
Phone (703) 723-9672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201000598VAMDAudiologist
00764MDMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Had Management LLC Audiologist CurrentSince Aug 25, 2018 Accepting new patients
Northland Hearing Centers, Inc Past Accepting new patients
Hearing Solutions of Fairfax PC Audiologist-Hearing Aid Fitter Past Accepting new patients
Sonus-USA, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Sonus-USA, Inc Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

133 Rollins Ave
Ste 2
Rockville, MD 20852
Phone (301) 231-9520

3305 N Leisure World Blvd
Silver Spring, MD 20906
Phone (301) 598-1011

3930 Pender Dr
Ste 140
Fairfax, VA 22030
Phone (571) 432-0640

300 N Washington St
Ste 102A
Falls Church, VA 22046
Phone (703) 237-0163

19375 Magnolia Grove Sq
Leesburg, VA 20176
Phone (703) 723-9672

19415 Deerfield Ave
Ste 301B
Leesburg, VA 20176
Phone (703) 723-9672

1320 Old Chain Bridge Rd
Ste 180
Mc Lean, VA 22101
Phone (703) 942-8110

1320 Old Chain Bridge Rd
Ste 185
McLean, VA 22101
Phone (703) 866-8819

46045 Palisade Pkwy
Ste 200
Potomac Falls, VA 20165
Phone (703) 723-9672

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1396790945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 OLD CHAIN BRIDGE RD STE 185",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013945",
            "telephone_number": "703-942-8110",
            "fax_number": "703-942-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 OLD CHAIN BRIDGE RD STE 185",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013945",
            "telephone_number": "703-942-8110",
            "fax_number": "301-231-5171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Washington St Ste 102A",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220463441",
            "country_code": "US",
            "telephone_number": "703-237-2716",
            "fax_number": "703-842-8042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Rollins Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524040",
            "country_code": "US",
            "telephone_number": "301-468-7670",
            "fax_number": "301-468-7260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Old Chain Bridge Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013919",
            "country_code": "US",
            "telephone_number": "703-942-8110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3305 N Leisure World Blvd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209061367",
            "country_code": "US",
            "telephone_number": "301-468-7670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46045 Palisade Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Potomac Falls",
            "state": "VA",
            "postal_code": "201658762",
            "country_code": "US",
            "telephone_number": "703-723-9672",
            "fax_number": "703-724-0127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3930 Pender Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220300986",
            "country_code": "US",
            "telephone_number": "571-432-0640",
            "fax_number": "571-407-5266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANZOLA",
        "first_name": "ANA",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00764",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000598",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101001335",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "00764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q38918A827",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.