Roanoke Valley Speech and Hearing Center, Inc.

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

Organization subpart

No

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

Addresses

Other identifiers 13

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

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.

• Roanoke Valley Speech and Hearing Center, Inc.

  • Audiologist
  • Roanoke, VA
  • NPI 1386837250
  NPD tax ID
• Roanoke Valley Speech and Hearing Center, Inc.

  • Audiologist-Hearing Aid Fitter
  • Roanoke, VA
  • NPI 1477601482
  NPD tax ID

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly F Lower, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Roanoke, VA
  • NPI 1992951081
  Medicare reassignment NPD
• Akirah Monaye Mattox

  • Speech-Language Pathologist
  • Roanoke, VA
  • NPI 1396405759
  Medicare reassignment NPD
• Melissa Rotenberry Patterson

  • Speech-Language Pathologist
  • Mooresville, NC
  • NPI 1003958950

  VA

  Medicare reassignment NPD
• Autumn Collins

  • Hearing Instrument Specialist
  • Chesapeake, VA
  • NPI 1629837356
  NPD (past)
• Amy Field, HIS

  • Hearing Instrument Specialist
  • Roanoke, VA
  • NPI 1326700808
  NPD (past)
• Elizabeth A Griffin, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Roanoke, VA
  • NPI 1396821328
  NPD (past)
• Carrie D Miller, M.S.,CCC-A

  • Audiologist
  • Roanoke, VA
  • NPI 1801972617
  NPD (past)
• Emily H Wycoff, M.ED.,CCC-SLP

  • Speech-Language Pathologist
  • Roanoke, VA
  • NPI 1750467536
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007926527",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007768446",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7088632",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "195182",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "297809",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007790506",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004978331",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010319544",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "282756",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010197554",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "240052",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "384444",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "240052",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Audiologist in Virginia

• 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.