Active NPI
Carrie D Miller, M.S.,CCC-A
- Audiologist
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001156
- Practice address
- 2030 Colonial Ave SW
Roanoke, VA 24015-3204 - Phone
- (540) 343-0165
- Fax
- (540) 345-4664
- NPI assigned
- Oct 27, 2006
- Last updated
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001156 | VA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 2101001383 | VA |
Addresses
Primary practice location
2030 Colonial Ave SW
Roanoke, VA 24015-3204
Mailing address
PO Box 8310
Roanoke, VA 24014-0310
Phone (540) 345-3556
Other practice location 1
4633 Brambleton Ave Ste 100
Roanoke, VA 24018-3410
Phone (540) 968-7368
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 384444 | Other | VA | ANTHEM |
| 240052 | Other | VA | MAMSI |
| 0007926527 | Other | VA | AETNA |
| 297809 | Other | VA | MAMSI |
| 010197554 | Medicaid | VA | |
| 009105727 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4633 Brambleton Ave
Suite 100
Roanoke, VA 24018-3410
Phone (540) 968-7368
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101001383 | VA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hearing Clinic | Audiologist | Current | Accepting new patients |
| Roanoke Valley ENT & Allergy PC | Current | Accepting new patients | |
| Montgomery Surgery Associates LLC | Past | Accepting new patients | |
| Roanoke Valley Speech and Hearing Center, Inc. | Audiologist | Past | Accepting new patients |
| Lewis Gale Physicians LLC | Past | Accepting new patients |
Locations
920 Plantation Rd
Ste 104
Blacksburg, VA 24060
Phone (540) 552-1904
4633 Brambleton Ave
Ste 100
Roanoke, VA 24018
Phone (540) 968-7368
1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1801972617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8310",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240140310",
"telephone_number": "540-345-3556",
"fax_number": "540-342-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 COLONIAL AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240153204",
"telephone_number": "540-343-0165",
"fax_number": "540-345-4664"
}
],
"practiceLocations": [
{
"address_1": "4633 Brambleton Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240183410",
"country_code": "US",
"telephone_number": "540-968-7368",
"fax_number": "844-212-0402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "CARRIE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "M.S.,CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001156",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "VA",
"license": "2101001383",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "384444",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "240052",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007926527",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "297809",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010197554",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009105727",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.