Active NPI
Autumn Collins
- Hearing Instrument Specialist
- Chesapeake, VA
National Provider Identifier
1629837356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2101002800
- Practice address
- 1021 Eden Way N Ste 110
Chesapeake, VA 23320-2776 - Phone
- (757) 547-3560
- Fax
- (757) 547-5053
- NPI assigned
- Mar 15, 2024
- Last updated
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2101002800 | VA | Primary |
Addresses
Primary practice location
1021 Eden Way N Ste 110
Chesapeake, VA 23320-2776
Mailing address
1021 Eden Way N Ste 110
Chesapeake, VA 23320-2776
Phone (757) 547-3560
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 |
|---|---|---|---|
| 2101002800 | VA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maico Audiological Services | Hearing Instrument Specialist | Current | Accepting new patients |
| Roanoke Valley Speech and Hearing Center, Inc. | Past | Accepting new patients |
Locations
1021 Eden Way N
Ste 110
Chesapeake, VA 23320
Phone (757) 547-3560
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Raleigh Hearing & Tinnitus Center
- Hearing Aid Equipment
- Newport News, VA
- NPI 1275690497
Hearing Instrument Specialist
-
- Audiologist
- Roanoke, VA
- NPI 1679659403
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": "1629837356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 EDEN WAY N STE 110",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202776",
"telephone_number": "757-547-3560",
"fax_number": "757-547-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 EDEN WAY N STE 110",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202776",
"telephone_number": "757-547-3560",
"fax_number": "757-547-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "AUTUMN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "VA",
"license": "2101002800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, 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.