Individual provider Active NPI

Ariana Braganza, AUD

  • Audiologist
  • Reston, VA
National Provider Identifier
1558046672
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001930 Issued in VA
Practice address
1860 Town Center Dr Ste 335
Reston, VA 20190-5900
Phone
(703) 787-3322
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reston Ear Nose and Throat PC 7 clinicians

Practice addresses (Care Compare)

12600 Fair Lakes Cir
Suite 102
Fairfax, VA 22033-4904
Phone (703) 787-3322

24430 Stone Springs Blvd
Suite 250a
Dulles, VA 20166-2267
Phone (703) 787-3322

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230714002586 VA Practitioner - Qualified Audiologist 2062872526 Reassigns benefits to 1 organization
I20231221001304 DC Practitioner - Qualified Audiologist 2062872526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201001930VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reston Ear Nose and Throat PC CurrentSince Jul 3, 2023 Accepting new patients
Edwin J Lee MD PC PastSince Jun 18, 2023 Accepting new patients

Locations

12600 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

3580 Joseph Siewick Dr
Ste 208
Fairfax, VA 22033
Phone (703) 787-3322

1860 Town Center Dr
Ste 335
Reston, VA 20190
Phone (703) 787-3322

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001930 VA Primary

Addresses

Primary practice location

1860 Town Center Dr Ste 335
Reston, VA 20190-5900

Mailing address

1860 Town Center Dr Ste 335
Reston, VA 20190-5900

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1558046672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 335",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 335",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905900",
            "telephone_number": "703-787-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGANZA",
        "first_name": "ARIANA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.