Individual provider Active NPI

Stephanie Howard, M.A.,CCC-A

  • Audiologist
  • Chesapeake, VA
National Provider Identifier
1821030784
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2101000856 Issued in VA
Practice address
500 Independence Parkway
Suite 100
Chesapeake, VA 23320-4911
Phone
(757) 547-9714
Fax
(757) 547-0725
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 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 2101000856 VA Primary

Addresses

Primary practice location

500 Independence Parkway
Suite 100
Chesapeake, VA 23320-4911

Mailing address

500 Independence Pkwy
Suite 100
Chesapeake, VA 23320-5187
Phone (757) 547-9714

Other names 1

  • Stephanie Ricker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000684 VA Practitioner - Qualified Audiologist 2668483637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Tennessee, HSC, College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maico Audiological ServicesGroup PAC ID 2365344074, 7 clinicians

Practice addresses (Care Compare)

1021 Eden Way N
Suite 110
Chesapeake, VA 23320-2776
Phone (757) 547-3560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2101000856VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maico Audiological Services Audiologist CurrentSince Nov 9, 2019 Accepting new patients

Locations

149 Plantation Ridge Dr
Ste 140
Mooresville, NC 28117

1021 Eden Way N
Ste 110
Chesapeake, VA 23320
Phone (757) 547-3560

703 Thimble Shoals Blvd
Ste C-3
Newport News, VA 23606
Phone (757) 873-8794

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1821030784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 INDEPENDENCE PKWY",
            "address_2": "SUITE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205187",
            "telephone_number": "757-547-9714",
            "fax_number": "757-547-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INDEPENDENCE PARKWAY",
            "address_2": "SUITE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204911",
            "telephone_number": "757-547-9714",
            "fax_number": "757-547-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "STEPHANIE",
        "credential": "M.A.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2101000856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "RICKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.