Mary Lynn Graham, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

A-0095 Issued in WV

Practice address

1316 Rock Cliff Dr
Martinsburg, WV 25401-3278

Phone

(304) 264-8884

Fax

(304) 264-8885

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mary Lynn Marquette Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Audiology Hearing Care Services Inc

  • Audiologist-Hearing Aid Fitter
  • Martinsburg, WV
  • NPI 1598847956
  NPD (past)
• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1730112954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 ROCK CLIFF DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013278",
            "telephone_number": "304-264-8884",
            "fax_number": "304-264-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 ROCK CLIFF DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013278",
            "telephone_number": "304-264-8884",
            "fax_number": "304-264-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WV",
            "license": "A-0095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160567000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MARQUETTE",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiarra Marie Govan
• David C Gowers, LMSW
• Eurone Graham, PHD, LCSW, DCSW
• Kyla Graham
• Lanika Graham
• Melissa Grajales
• Jowanza Grant
• Melissa Ann Grant
• Inara Grashoff
• Amanda Gravell

• Audiologist-Hearing Aid Fitter in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Audiologist-Hearing Aid Fitter in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.