Individual provider Active NPI

Susan Green Chadwick, AU.D., CCCA, FAAA

  • Audiologist
  • Falls Church, VA
National Provider Identifier
1437212362
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
74 Issued in VA
Practice address
7423 Camp Alger Ave
Falls Church, VA 22042-3608
Phone
(703) 645-7104
Fax
(703) 876-1811
NPI assigned
Dec 19, 2006
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 74 VA Primary

Addresses

Primary practice location

7423 Camp Alger Ave
Falls Church, VA 22042-3608

Mailing address

7423 Camp Alger Ave
Falls Church, VA 22042-3608
Phone (703) 645-7104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
74VAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1437212362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 CAMP ALGER AVE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423608",
            "telephone_number": "703-645-7104",
            "fax_number": "703-876-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 CAMP ALGER AVE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423608",
            "telephone_number": "703-645-7104",
            "fax_number": "703-876-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "SUSAN",
        "middle_name": "GREEN",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCCA, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "74",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.