Individual provider Active NPI

Taylor Ann Herbert, AU.D.

  • Audiologist
  • Manassas, VA
National Provider Identifier
1861068306
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
9200 Church St Ste 201
Manassas, VA 20110-5561
Phone
(571) 646-5533
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

9200 Church St Ste 201
Manassas, VA 20110-5561

Mailing address

12240 Allspice CT
Woodbridge, VA 22192-1743
Phone (717) 286-8673

Other names 1

  • Taylor Ann Bakal Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121000465 VA Practitioner - Qualified Audiologist 1456729698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution HearingGroup PAC ID 6608249727, 6 clinicians

Practice addresses (Care Compare)

9200 Church St
Suite 201
Manassas, VA 20110-5561
Phone (571) 646-5533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Hearing Audiologist CurrentSince Aug 5, 2024 Accepting new patients

Locations

451 Ruin Creek Rd
Ste 104
Henderson, NC 27536
Phone (252) 290-6264

1 Morton Dr
Ste 107
Charlottesville, VA 22903
Phone (833) 236-4327

3225 N Franklin St
Ste 2
Christiansburg, VA 24073
Phone (540) 251-5002

1906 Boulevard
#B
Colonial Hgts, VA 23834

9200 Church St
Ste 201
Manassas, VA 20110
Phone (571) 646-5533

4801 Radford Ave
Ste A
Richmond, VA 23230
Phone (804) 215-0001

1463 W Main St
Unit P2
Salem, VA 24153
Phone (540) 251-5002

109 Mactanly Pl
Staunton, VA 24401
Phone (540) 212-7900

441 S Independence Blvd
Ste 1
Virginia Beach, VA 23452
Phone (757) 447-9940

7100 George Washington Mem Hwy
Ste 9
Yorktown, VA 23692
Phone (757) 447-9940

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1861068306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12240 ALLSPICE CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921743",
            "telephone_number": "717-286-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CHURCH ST STE 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105561",
            "telephone_number": "571-646-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "BAKAL",
            "middle_name": "ANN",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.