Organization Active NPI

Knox Audiology LLC

  • Audiologist
  • Suffolk, VA
National Provider Identifier
1780013367
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001407 Issued in VA
Legal business name
KNOX AUDIOLOGY LLC
Doing business as
Knox Audiology
Practice address
108 Western Ave
Suffolk, VA 23434-4434
Phone
(757) 774-8801
Fax
(757) 539-0989
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Dr. Carrie Ann Knox, AU.D.NPI 1326350893
Title
Member/Audiologist
Phone
(757) 774-8801

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 2201001407 VA Primary

Addresses

Primary practice location

108 Western Ave
Suffolk, VA 23434-4434

Mailing address

108 Western Ave
Suffolk, VA 23434-4434
Phone (757) 774-8801

Other names 1

  • Knox Audiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140123001430 VA Part B Supplier - Clinic/Group Practice 7214165018 Receives reassigned benefits from 1 practitioner
Practice locations: Suffolk, VA

National Provider Directory

National Provider Directory

Locations

108 Western Ave
Suffolk, VA 23434
Phone (757) 774-8801

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": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1780013367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WESTERN AVE",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344434",
            "telephone_number": "757-774-8801",
            "fax_number": "757-539-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WESTERN AVE",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344434",
            "telephone_number": "757-774-8801",
            "fax_number": "757-539-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEMBER/AUDIOLOGIST",
        "authorized_official_telephone_number": "757-774-8801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knox Audiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Knox Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.