Individual provider Active NPI

Samantha Vrooman, AU.D

  • Audiologist
  • Wake Forest, NC
National Provider Identifier
1780064105
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
11397 Issued in NC
Practice address
1954 S Main St
Wake Forest, NC 27587-9336
Phone
(919) 570-8311
Fax
(919) 573-0797
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 11397 NC Primary

Addresses

Primary practice location

1954 S Main St
Wake Forest, NC 27587-9336

Mailing address

1954 S Main St
Wake Forest, NC 27587-9336
Phone (919) 570-8311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201000997 NC Practitioner - Qualified Audiologist 2163722968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vrooman Audiology PLLCGroup PAC ID 1951634849, 3 clinicians

Practice addresses (Care Compare)

1954 S Main St
Wake Forest, NC 27587-9336
Phone (910) 570-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11397NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Audiology & Hearing Aid Associates, PLLC Audiologist CurrentSince May 1, 2019 Accepting new patients
Vrooman Audiology, PLLC Audiologist CurrentSince May 1, 2019 Accepting new patients

Locations

7718 Six Forks Rd
Ste 102
Raleigh, NC 27615
Phone (919) 670-3777

1954 S Main St
Wake Forest, NC 27587
Phone (910) 570-8311

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1780064105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879336",
            "telephone_number": "919-570-8311",
            "fax_number": "919-573-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879336",
            "telephone_number": "919-570-8311",
            "fax_number": "919-573-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VROOMAN",
        "first_name": "SAMANTHA",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "11397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.