Individual provider Active NPI

Susan Minshew Fowler, AUDIOLOGIST

  • Audiologist
  • Midlothian, VA
National Provider Identifier
1508915257
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000271 Issued in VA
Practice address
1306 Alverser PLZ
Midlothian, VA 23113-2604
Phone
(804) 794-2368
Fax
(804) 794-2375
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201000271 VA Primary

Addresses

Primary practice location

1306 Alverser PLZ
Midlothian, VA 23113-2604

Mailing address

5219 Hickory Park Dr
Ste C
Glen Allen, VA 23059-2618
Phone (804) 794-2368

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1508915257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 HICKORY PARK DR",
            "address_2": "STE C",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592618",
            "telephone_number": "804-794-2368",
            "fax_number": "804-794-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132604",
            "telephone_number": "804-794-2368",
            "fax_number": "804-794-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "SUSAN",
        "middle_name": "MINSHEW",
        "name_prefix": "Mrs.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.