Active NPI
Jillian Malo
- Audiologist
- Charlottesville, VA
National Provider Identifier
1528827235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001924
- Practice address
- 440 Afton Pond CT Apt 420
Charlottesville, VA 22902-6532 - Phone
- (978) 914-5069
- NPI assigned
- Mar 15, 2024
- 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 | 2201001924 | VA | Primary |
Addresses
Primary practice location
440 Afton Pond CT Apt 420
Charlottesville, VA 22902-6532
Mailing address
440 Afton Pond CT Apt 420
Charlottesville, VA 22902-6532
Phone (978) 914-5069
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001924 | VA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1528827235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 AFTON POND CT APT 420",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229026532",
"telephone_number": "978-914-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 AFTON POND CT APT 420",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229026532",
"telephone_number": "978-914-5069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALO",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.