Active NPI
Southern Vermont Audiology, Inc.
- Audiologist
- Manchester Center, VT
National Provider Identifier
1679826101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- SOUTHERN VERMONT AUDIOLOGY, INC.
- Practice address
- 5420 Main St
Manchester Center, VT 05255-9481 - Phone
- (802) 366-8020
- Fax
- (802) 366-8030
- NPI assigned
- Oct 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Katherine Lowkes, AU.D.
- Title
- Owner
- Phone
- (802) 366-8020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
5420 Main St
Manchester Center, VT 05255-9481
Mailing address
5420 Main St
Manchester Center, VT 05255-9481
Phone (802) 366-8020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021217 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
69 Union St
Manchester, VT 05254
5420 Main St
Manchestr Ctr, VT 05255
Phone (802) 366-8020
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Manchester Center, VT
- NPI 1467886044
-
- Audiologist
- Rutland, VT
- NPI 1801481221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731888000000",
"number": "1679826101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 MAIN ST",
"city": "MANCHESTER CENTER",
"state": "VT",
"postal_code": "052559481",
"telephone_number": "802-366-8020",
"fax_number": "802-366-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 MAIN ST",
"city": "MANCHESTER CENTER",
"state": "VT",
"postal_code": "052559481",
"telephone_number": "802-366-8020",
"fax_number": "802-366-8030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN VERMONT AUDIOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-22",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A",
"authorized_official_last_name": "LOWKES",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-366-8020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021217",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester Center, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.