Individual provider Active NPI

Marian S Fredner, M.S.

  • Audiologist
  • Charlottesville, VA
National Provider Identifier
1679506042
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000509 Issued in VA
Practice address
3315 Berkmar Dr
Suite 2B
Charlottesville, VA 22901-1491
Phone
(434) 975-4327
Fax
(434) 293-4327
NPI assigned
Jul 9, 2006
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2101000805 VA
Audiologist 231H00000X 2201000509 VA Primary

Addresses

Primary practice location

3315 Berkmar Dr
Suite 2B
Charlottesville, VA 22901-1491

Mailing address

3315 Berkmar Dr
Ste 2B
Charlottesville, VA 22901-1889
Phone (434) 975-4327

Other identifiers 6

IdentifierTypeStateIssuer
1659441608OtherVAGROUP NPI FOR PEDIATRIC ASSOCIATES OF CHARLOTTESVILLE
1679506042OtherVANPI
157891OtherVASOUTHERN HEALTH
700021883OtherVACIGNA
4501317OtherVAUNITED HEALTH CARE
440529OtherVAANTHEM/BCBS

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2201000509VAMDAudiologist
2101000805VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpaca Audiology - in & VA LLC Audiologist PastSince Mar 2, 2016 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1679506042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 BERKMAR DR",
            "address_2": "STE 2B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011889",
            "telephone_number": "434-975-4327",
            "fax_number": "434-293-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BERKMAR DR",
            "address_2": "SUITE 2B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011491",
            "telephone_number": "434-975-4327",
            "fax_number": "434-293-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDNER",
        "first_name": "MARIAN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101000805",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI FOR PEDIATRIC ASSOCIATES OF CHARLOTTESVILLE",
            "identifier": "1659441608",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679506042",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "157891",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "700021883",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4501317",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "440529",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.