Individual provider Active NPI

Mary Alden Wing, AU.D.

  • Audiologist
  • Norfolk, VA
National Provider Identifier
1710662408
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001931 Issued in VA
Practice address
885 Kempsville Rd Ste 221
Norfolk, VA 23502-3820
Phone
(757) 962-6538
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001931 VA Primary

Addresses

Primary practice location

885 Kempsville Rd Ste 221
Norfolk, VA 23502-3820

Mailing address

885 Kempsville Rd Ste 221
Norfolk, VA 23502-3820
Phone (757) 962-6538

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2201001931VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat LTD CurrentSince Jun 25, 2023 Accepting new patients

Locations

885 Kempsville Rd
Ste 221
Norfolk, VA 23502
Phone (757) 623-0526

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1710662408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD STE 221",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023820",
            "telephone_number": "757-962-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD STE 221",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023820",
            "telephone_number": "757-962-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "MARY",
        "middle_name": "ALDEN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.