Individual provider Active NPI

Colville William Heskey, AU.D.

  • Audiologist
  • Arlington, VA
National Provider Identifier
1558534586
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001356 Issued in VA
Practice address
1635 N George Mason Dr
Suite 250
Arlington, VA 22205-3601
Phone
(703) 524-1212
Fax
(703) 524-4595
NPI assigned
Apr 10, 2008
Last updated
Jan 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001356 VA Primary
Hearing Instrument Specialist 237700000X 2101001681 VA

Addresses

Primary practice location

1635 N George Mason Dr
Suite 250
Arlington, VA 22205-3601

Mailing address

1635 N George Mason Dr
Suite 250
Arlington, VA 22205-3601
Phone (703) 524-1212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090105000074 DC Practitioner - Qualified Audiologist 5193887958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1635 N George Mason Dr
490 Arlington Prim Care
Arlington, VA 22205-3601
Phone (703) 522-5300

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2101001681VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 3, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 3, 2018 Accepting new patients
Ear,Nose & Throat Medical Group of Washington P.C. Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1635 N George Mason Dr
Ste 250
Arlington, VA 22205
Phone (703) 524-1212

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • Direct secure messaging: colville.heskey.1@8042.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1558534586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR",
            "address_2": "SUITE 250",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053601",
            "telephone_number": "703-524-1212",
            "fax_number": "703-524-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR",
            "address_2": "SUITE 250",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053601",
            "telephone_number": "703-524-1212",
            "fax_number": "703-524-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESKEY",
        "first_name": "COLVILLE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001356",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.