Active NPI
Olivia Henson
- Audiologist
- Ashburn, VA
National Provider Identifier
1598912891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001403
- Practice address
- 44320 Premier PLZ
110
Ashburn, VA 20147-5076 - Phone
- (703) 723-8727
- NPI assigned
- Aug 19, 2008
- Last updated
- Feb 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001403 | VA | Primary |
| Hearing Instrument Specialist | 237700000X | 2102 002400 | VA |
Addresses
Primary practice location
44320 Premier PLZ
110
Ashburn, VA 20147-5076
Mailing address
44320 Premier PLZ
Suite 110
Ashburn, VA 20147-5076
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001403 | VA | MD | Audiologist |
| 2102 002400 | VA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298246400000",
"number": "1598912891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44320 PREMIER PLZ",
"address_2": "SUITE 110",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44320 PREMIER PLZ",
"address_2": "110",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475076",
"telephone_number": "703-723-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "OLIVIA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2011-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001403",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "VA",
"license": "2102 002400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.