NPIMap

Organization Active NPI

Pratibha Srinivasan

  • Audiologist
  • Alexandria, VA
National Provider Identifier
1720391600
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000379 Issued in VA
Legal business name
PRATIBHA SRINIVASAN
Doing business as
SMART EARS
Practice address
220 S Washington St
#203
Alexandria, VA 22314-3626
Phone
(804) 399-4066
Fax
(703) 891-9854
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Ms. Pratibha SrinivasanNPI 1811907801
Title
Sole Proprietor and Audiologist
Phone
(804) 399-4066

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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 2201000379 VA Primary

Addresses

Primary practice location

220 S Washington St
#203
Alexandria, VA 22314-3626

Mailing address

1019 Dawnwood Rd
Midlothian, VA 23114-4489
Phone (804) 399-4066

Other identifiers 3

IdentifierTypeStateIssuer
9450025MedicaidVA
352434OtherVAANTHEM
M986OtherVACAREFIRST BCBS

Other names 1

  • SMART EARS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1720391600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 DAWNWOOD RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144489",
            "telephone_number": "804-399-4066",
            "fax_number": "703-891-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S WASHINGTON ST",
            "address_2": "#203",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143626",
            "telephone_number": "804-399-4066",
            "fax_number": "703-891-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATIBHA SRINIVASAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "PRATIBHA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR AND AUDIOLOGIST",
        "authorized_official_telephone_number": "804-399-4066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9450025",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "352434",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "M986",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART EARS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.