Individual provider Active NPI

Meredith L Oudt, DC

  • Chiropractor
  • Winchester, VA
National Provider Identifier
1467591073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001033 Issued in VA
Practice address
2654 Valley Ave
Suite E
Winchester, VA 22601-2661
Phone
(540) 678-0100
Fax
(540) 678-1396
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001033 VA Primary

Addresses

Primary practice location

2654 Valley Ave
Suite E
Winchester, VA 22601-2661

Mailing address

2654 Valley Ave
Suite E
Winchester, VA 22601-2661
Phone (540) 678-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000582 VA Practitioner - Chiropractic 6800861915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2654 Valley Ave
Suite E
Winchester, VA 22601-2661
Phone (540) 678-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Chiropractic Inc Chiropractor CurrentSince Nov 1, 1999 Accepting new patients

Locations

2654 Valley Ave
Ste E
Winchester, VA 22601
Phone (540) 678-0100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467591073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 VALLEY AVE",
            "address_2": "SUITE E",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012661",
            "telephone_number": "540-678-0100",
            "fax_number": "540-678-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 VALLEY AVE",
            "address_2": "SUITE E",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012661",
            "telephone_number": "540-678-0100",
            "fax_number": "540-678-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUDT",
        "first_name": "MEREDITH",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.