Individual provider Active NPI

Brooke Evette Barnard Schmisseur, AUD, CCC-A

  • Audiologist
  • Lansdowne, VA
National Provider Identifier
1669429338
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001195 Issued in VA
Practice address
19465 Deerfield Ave
Suite 201
Lansdowne, VA 20176-1701
Phone
(703) 858-7620
Fax
(703) 858-7657
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 2101001481 VA
Hearing Instrument Specialist 237700000X 2101001481 VA
Audiologist 231H00000X 2201001195 VA Primary

Addresses

Primary practice location

19465 Deerfield Ave
Suite 201
Lansdowne, VA 20176-1701

Mailing address

19465 Deerfield Ave
Suite 201
Lansdowne, VA 20176-1701
Phone (703) 858-7620

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

LicenseStateTypeSpecialty
2201001195VAMDAudiologist
2101001481VAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Speech & Hearing Center of Loudoun County, Inc. Audiologist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7509/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1669429338",
    "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": "SCHMISSEUR",
        "first_name": "BROOKE",
        "middle_name": "EVETTE BARNARD",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101001481",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001481",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.