Individual provider Active NPI

Kimberly Suzanne Fisher, M.A., CCC-A

  • Audiologist
  • Midlothian, VA
National Provider Identifier
1750493870
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001105 Issued in VA
Practice address
13925 Coalfield Commons PL
Suite 101
Midlothian, VA 23114-1216
Phone
(804) 818-0000
Fax
(804) 794-1178
NPI assigned
Aug 31, 2006
Last updated
May 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001105 VA Primary

Addresses

Primary practice location

13925 Coalfield Commons PL
Suite 101
Midlothian, VA 23114-1216

Mailing address

13925 Coalfield Commons PL
Suite 101
Midlothian, VA 23114-1216
Phone (804) 818-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000218 VA Practitioner - Qualified Audiologist 1254439284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Hearing Doctors PLLCGroup PAC ID 4284809708, 7 clinicians

Practice addresses (Care Compare)

7301 Forest Ave
Suite 202
Richmond, VA 23226-3792
Phone (804) 818-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2201001105VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Hearing Doctors, PLLC CurrentSince Oct 2, 2011 Accepting new patients

Locations

13924 Coalfield Commons Pl
Ste 200
Midlothian, VA 23114
Phone (804) 818-0000

13925 Coalfield Commons Pl
Ste 101
Midlothian, VA 23114
Phone (804) 818-0000

7301 Forest Ave
Ste 202
Richmond, VA 23226
Phone (804) 533-7272

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1750493870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 COALFIELD COMMONS PL",
            "address_2": "SUITE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141216",
            "telephone_number": "804-818-0000",
            "fax_number": "804-794-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 COALFIELD COMMONS PL",
            "address_2": "SUITE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141216",
            "telephone_number": "804-818-0000",
            "fax_number": "804-794-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KIMBERLY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.