Organization Active NPI

Hanover Audiology PLLC

  • Speech-Language Pathologist
  • Mechanicsville, VA
National Provider Identifier
1639438708
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2201222629 Issued in VA
Legal business name
HANOVER AUDIOLOGY PLLC
Practice address
7484 Lee Davis Rd
Suite 10
Mechanicsville, VA 23111-3678
Phone
(804) 789-1764
Fax
(804) 789-1762
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Dr. Janet Tinsley Hiles Brett, AUD
Title
Doctor of Audiology/Owner
Phone
(804) 789-1754

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2201222629 VA Primary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X 2101001224 VA

Addresses

Primary practice location

7484 Lee Davis Rd
Suite 10
Mechanicsville, VA 23111-3678

Mailing address

7484 Lee Davis Rd
Suite 10
Mechanicsville, VA 23111-3678
Phone (804) 789-1764

National Provider Directory

National Provider Directory

Locations

7484 Lee Davis Rd
Ste 10
Mechanicsville, VA 23111
Phone (804) 789-1764

7484 Lee Davis Rd
Mechanicsvlle, VA 23111

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1639438708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7484 LEE DAVIS RD",
            "address_2": "SUITE 10",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113678",
            "telephone_number": "804-789-1764",
            "fax_number": "804-789-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7484 LEE DAVIS RD",
            "address_2": "SUITE 10",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113678",
            "telephone_number": "804-789-1764",
            "fax_number": "804-789-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "HILES BRETT",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "TINSLEY",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY/OWNER",
        "authorized_official_telephone_number": "804-789-1754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2201222629",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.