Individual provider Active NPI

Susan Dewey Ulmer, MEDCCC-A

  • Audiologist
  • Richmond, VA
National Provider Identifier
1497911127
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000392 Issued in VA
Practice address
7275 Glen Forest Drive
Suite 208
Richmond, VA 23226
Phone
(804) 282-0022
Fax
(804) 282-2441
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2101000813 VA
Audiologist 231H00000X 2201000392 VA Primary

Addresses

Primary practice location

7275 Glen Forest Drive
Suite 208
Richmond, VA 23226

Mailing address

7275 Glen Forest Drive
Suite 208
Richmond, VA 23226
Phone (804) 288-8308

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081205000748 VA Practitioner - Qualified Audiologist 8224199435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2101000813VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Hearing Doctors, PLLC CurrentSince Feb 1, 2018 Accepting new patients

Locations

13924 Coalfield Commons Pl
Ste 200
Midlothian, VA 23114
Phone (804) 818-0000

7275 Glen Forest Dr
Ste 208
Richmond, VA 23226
Phone (804) 282-0022

7301 Forest Ave
Ste 202
Richmond, VA 23226
Phone (804) 533-7272

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1497911127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 GLEN FOREST DRIVE",
            "address_2": "SUITE 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-288-8308",
            "fax_number": "804-288-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 GLEN FOREST DRIVE",
            "address_2": "SUITE 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-282-0022",
            "fax_number": "804-282-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "SUSAN",
        "middle_name": "DEWEY",
        "name_prefix": "Mrs.",
        "credential": "MEDCCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101000813",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.