NPIMap

Organization Active NPI

Greenbrier Audiology, Inc.

  • Audiologist-Hearing Aid Fitter
  • Beckley, WV
National Provider Identifier
1740610476
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A-0051 Issued in WV
Legal business name
GREENBRIER AUDIOLOGY, INC.
Practice address
2216 S Kanawha St
Beckley, WV 25801-6720
Phone
(304) 255-6310
Fax
(304) 255-6320
NPI assigned
Nov 15, 2013
Last updated
Nov 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Dr. Laura L Stout, AU.D.NPI 1699784264
Title
President/Audiologist
Phone
(304) 255-6310

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
Audiologist-Hearing Aid Fitter 237600000X A-0051 WV Primary

Addresses

Primary practice location

2216 S Kanawha St
Beckley, WV 25801-6720

Mailing address

2216 S Kanawha St
Beckley, WV 25801-6720
Phone (304) 255-6310

Other identifiers 1

IdentifierTypeStateIssuer
3810026118MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Greenbrier Audiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2216 S Kanawha St
Beckley, WV 25801
Phone (304) 255-6310

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1740610476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 S KANAWHA ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016720",
            "telephone_number": "304-255-6310",
            "fax_number": "304-255-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 S KANAWHA ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016720",
            "telephone_number": "304-255-6310",
            "fax_number": "304-255-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER AUDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/AUDIOLOGIST",
        "authorized_official_telephone_number": "304-255-6310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WV",
            "license": "A-0051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026118",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.