Individual provider Active NPI

Gena Walls Roehe, AU.D., CCC-A

  • Assistive Technology Practitioner Audiologist
  • Norfolk, VA
National Provider Identifier
1851791701
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
2201001212 Issued in VA
Practice address
6161 Kempsville Cir Ste 340
Norfolk, VA 23502-3950
Phone
(757) 793-4180
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 2201001212 VA Primary

Addresses

Primary practice location

6161 Kempsville Cir Ste 340
Norfolk, VA 23502-3950

Mailing address

2724 Pleasant Acres Dr
Virginia Beach, VA 23453-7336
Phone (757) 439-6875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201001212VAMDAssistive Technology Practitioner Audiologist

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1851791701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 PLEASANT ACRES DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234537336",
            "telephone_number": "757-439-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR STE 340",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023950",
            "telephone_number": "757-793-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEHE",
        "first_name": "GENA",
        "middle_name": "WALLS",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "VA",
            "license": "2201001212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.