Alice Cheney Wilson, AU.D., ABA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001392 Issued in VA

Practice address

19465 Deerfield Ave
Suite 201
Lansdowne, VA 20176-1701

Phone

(703) 858-7620

Fax

(703) 858-7657

NPI assigned

Apr 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2005

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Business Administration

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: alice.wilson.1@8042.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7509/brand/1/csg/1/fhir/r4

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment Care Compare group NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Blue Ridge Speech & Hearing Center of Loudoun County, Inc.

  • Audiologist
  • Lansdowne, VA
  • NPI 1558304253
  NPD (past)
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)
• The ENT & Allergy Centers of Texas, PLLC

  • Otolaryngology Physician
  • McKinney, TX
  • NPI 1144470873
  NPD (past)
• White Rock ENT PA

  • Otolaryngology Physician
  • Dallas, TX
  • NPI 1144382094
  NPD (past)

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1578737649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE",
            "address_2": "SUITE 201",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761701",
            "telephone_number": "703-858-7620",
            "fax_number": "703-858-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE",
            "address_2": "SUITE 201",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761701",
            "telephone_number": "703-858-7620",
            "fax_number": "703-858-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALICE",
        "middle_name": "CHENEY",
        "credential": "AU.D., ABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001392",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101001768",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Nanda Wasan, M.D.
• Sanjeev Madanlal Wasan, MD
• William Wells, RN
• Jeffrey Derrick White, M.D.
• Amanda Willging, ATC, OTC
• Barbara Winthrop, OTR/L
• Marilyn J Wiseman, MSN, CRNP,CRNFA,CNOR
• Kaitlin Woelfel
• Womens Wellness and Cosmetic Laser
• Soheila Yadrandji, MD

• Audiologist in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.