Individual provider Active NPI

Carlie Ervine, AUD

  • Audiologist
  • Lewisburg, WV
National Provider Identifier
1487498671
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-0429 Issued in WV
Practice address
206 Dawkins Dr
Lewisburg, WV 24901-5004
Phone
(304) 647-4327
NPI assigned
Jun 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-0429 WV Primary

Addresses

Primary practice location

206 Dawkins Dr
Lewisburg, WV 24901-5004

Mailing address

206 Dawkins Dr
Lewisburg, WV 24901-5004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126001039 WV Practitioner - Qualified Audiologist 6305371444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Greenbrier Audiology IncGroup PAC ID 8729216379, 6 clinicians

Practice addresses (Care Compare)

2216 S Kanawha St
Beckley, WV 25801-6720
Phone (304) 255-6310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-0429WVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Audiology, Inc. Current Accepting new patients
Greenbrier Audiology, Inc. Audiologist CurrentSince Oct 29, 2024 Accepting new patients
Greenbrier Audiology and Hearing Aid Services, Inc. Audiologist PastSince Jun 23, 2024 Accepting new patients

Locations

2216 S Kanawha St
Beckley, WV 25801
Phone (304) 255-6310

206 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 647-4327

Organizations & group practices 3

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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1487498671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 DAWKINS DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249015004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 DAWKINS DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249015004",
            "telephone_number": "304-647-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVINE",
        "first_name": "CARLIE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.