NPIMap

Organization Active NPI

Roanoke Valley Speech and Hearing Center, Inc.

  • Audiologist
  • Roanoke, VA
National Provider Identifier
1679659403
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000601 Issued in VA
Legal business name
ROANOKE VALLEY SPEECH AND HEARING CENTER, INC.
Practice address
2030 Colonial Ave. SW
Roanoke, VA 24015-3204
Phone
(540) 343-0165
Fax
(540) 345-4664
NPI assigned
Oct 27, 2006
Last updated
Apr 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Ms. J Andree' Brooks, PHR
Title
President
Phone
(540) 343-0165

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 2201000601 VA Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 2101001443 VA

Addresses

Primary practice location

2030 Colonial Ave. SW
Roanoke, VA 24015-3204

Mailing address

2030 Colonial Ave. SW
Roanoke, VA 24015-3204
Phone (540) 343-0165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090413000452 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4082701610 Practice locations: Roanoke, VA
O20160331002383 VA Part B Supplier - Clinic/Group Practice 4082701610 Receives reassigned benefits from 3 practitioners
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory
Tax ID family
Roanoke Valley Speech and Hearing Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2030 Colonial Ave SW
Roanoke, VA 24015
Phone (540) 343-0165

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1679659403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 COLONIAL AVE. SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153204",
            "telephone_number": "540-343-0165",
            "fax_number": "540-345-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 COLONIAL AVE. SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153204",
            "telephone_number": "540-343-0165",
            "fax_number": "540-345-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE VALLEY SPEECH AND HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ANDREE'",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-343-0165",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHR"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000601",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101001443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.