Active NPI
Nobuko Iwasaki, AUD
- Audiologist
- Alexandria, VA
National Provider Identifier
1639312069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 02201001390
- Practice address
- 6355 Walker LN
Suite 308
Alexandria, VA 22310-3245 - Phone
- (703) 313-7700
- Fax
- (703) 313-0178
- NPI assigned
- Apr 15, 2009
- Last updated
- Apr 15, 2009
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 02201001390 | VA | Primary |
Addresses
Primary practice location
6355 Walker LN
Suite 308
Alexandria, VA 22310-3245
Mailing address
224D Cornwall St NW
Suite 403
Leesburg, VA 20176-2700
Phone (703) 443-6717
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 |
|---|---|---|---|
| 02201001390 | VA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1639312069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224D CORNWALL ST NW",
"address_2": "SUITE 403",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762700",
"telephone_number": "703-443-6717",
"fax_number": "703-443-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 WALKER LN",
"address_2": "SUITE 308",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103245",
"telephone_number": "703-313-7700",
"fax_number": "703-313-0178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWASAKI",
"first_name": "NOBUKO",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-15",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "02201001390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.