Active NPI
Marian S Fredner, M.S.
- Audiologist
- Charlottesville, VA
National Provider Identifier
1679506042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201000509
- 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, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659441608 | Other | VA | GROUP NPI FOR PEDIATRIC ASSOCIATES OF CHARLOTTESVILLE |
| 1679506042 | Other | VA | NPI |
| 157891 | Other | VA | SOUTHERN HEALTH |
| 700021883 | Other | VA | CIGNA |
| 4501317 | Other | VA | UNITED HEALTH CARE |
| 440529 | Other | VA | ANTHEM/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
| License | State | Type | Specialty |
|---|---|---|---|
| 2201000509 | VA | MD | Audiologist |
| 2101000805 | VA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpaca Audiology - in & VA LLC | Audiologist | Past | 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
- Frazier T Fortenberry Jr MD PLC
- Evelyn Frazier, MD
- Heather K Frazier, MD
- Jacob Lee Frazier, BCBA, LBA
- Katheryn Ferris Frazier, MD
- Free Range Direct Primary Care, PLLC (Free Range Direct Primary Care)
- Danielle Petrosky Free, NP
- Cassandra G Freed-Pastor, ACNP-BC
- Matthew Tyler Freedman, MD
- William Bernis Freedman, M.D.
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.