Stacia Dawn Demoss, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A-0288 Issued in WV

Practice address

1425 Earl L Core Rd
Morgantown, WV 26505-5885

Phone

(304) 413-0184

Fax

(304) 413-0185

NPI assigned

Dec 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stacai Dawn Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hearing Central

  • Hearing Aid Equipment
  • Morgantown, WV
  • NPI 1720324114
  NPD (past)

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1457697880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 EARL L CORE RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055885",
            "telephone_number": "304-413-0184",
            "fax_number": "304-413-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 EARL L CORE RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055885",
            "telephone_number": "304-413-0184",
            "fax_number": "304-413-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSS",
        "first_name": "STACIA",
        "middle_name": "DAWN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATE OF CLINICAL COMPETENCE",
            "identifier": "12140181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WV LICENSE",
            "identifier": "A-0288",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACAI",
            "last_name": "LEWIS",
            "middle_name": "DAWN",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Ann Deming, MSW
• Cindy Lou Demniak, APRN
• Marquis Demniak, NP-C
• Olivia Demore, APRN, FNP-BC
• Deidra Demoss
• April Dempsey
• Margaret Dempsey, M.S., CCC-SLP
• Tricia Marie Denjen, APRN-C
• Nicolas Steven Denne, M.D.
• Alana Dennison, LMT

• Audiologist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Audiologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.