Active NPI
Vishakha W Rawool, PHD CCC-A
- Audiologist
- Oxford, MS
National Provider Identifier
1477079390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A0219
- Practice address
- 2301 South Lamar Blvd
Suite 1200
Oxford, MS 38655 - Phone
- (662) 915-7271
- Fax
- (662) 915-7263
- NPI assigned
- Aug 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A0219 | WV | Primary |
Addresses
Primary practice location
2301 South Lamar Blvd
Suite 1200
Oxford, MS 38655
Mailing address
PO Box 1848
University, MS 38677
Phone (662) 915-7271
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0219 | WV | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University | Audiologist | Past | Accepting new patients |
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": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1477079390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "UNIVERSITY",
"state": "MS",
"postal_code": "38677",
"telephone_number": "662-915-7271",
"fax_number": "662-915-7263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 SOUTH LAMAR BLVD",
"address_2": "SUITE 1200",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "662-915-7271",
"fax_number": "662-915-7263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWOOL",
"first_name": "VISHAKHA",
"middle_name": "W",
"credential": "PHD CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WV",
"license": "A0219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.