Pratibha Srinivasan, M.S. CCC-A, CERT AVT

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201000379 Issued in VA

Practice address

1495 Chain Bridge Rd
McLean, VA 22101-5727

Phone

(571) 633-0770

Fax

(571) 633-9666

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Pratibha Srinivasan

  • Audiologist
  • Alexandria, VA
  • NPI 1720391600
  NPD (past) Authorized official
• Potomac River Clinic

  • Audiologist
  • Washington, DC
  • NPI 1932310703
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811907801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 SPRINGFIELD RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604181",
            "telephone_number": "804-290-0475",
            "fax_number": "804-290-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 CHAIN BRIDGE RD",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221015727",
            "telephone_number": "571-633-0770",
            "fax_number": "571-633-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "PRATIBHA",
        "credential": "M.S. CCC-A, CERT AVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID/OPTIMA HEALTH",
            "identifier": "69161",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID - ANTHEM",
            "identifier": "140801",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID - ANTHEM",
            "identifier": "208069",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Somatus Whole Care Center of New Jersey P.C.
• Somatus, Inc.
• Christopher Son, O.D. PC
• Gary Jan Soverow, MD
• James B Sprague, MD
• Crystal St. Clair, MD
• Steeple Run Associates, LLC
• Nita Sumida, M.D.
• Douglas Alan Tebor, M.D.
• Michael Ternisky, DDS

• Audiologist in McLean, VA
• Providers in McLean, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.