Individual provider Active NPI

Michael Louis Pachuilo, M.S., CCC-A

  • Assistive Technology Practitioner Audiologist
  • Chesapeake, VA
National Provider Identifier
1871653980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
2201001325 Issued in VA
Practice address
1021 Eden Way N
Suite 111
Chesapeake, VA 23320-2776
Phone
(757) 547-3560
Fax
(757) 547-5053
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2201001325 VA Primary

Addresses

Primary practice location

1021 Eden Way N
Suite 111
Chesapeake, VA 23320-2776

Mailing address

6116 Auburn LN
Hampton, VA 23666-2442
Phone (765) 714-5607

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Maico Audiological Services PastSince May 1, 2009 Accepting new patients

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871653980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 AUBURN LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662442",
            "telephone_number": "765-714-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 EDEN WAY N",
            "address_2": "SUITE 111",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202776",
            "telephone_number": "757-547-3560",
            "fax_number": "757-547-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHUILO",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "VA",
            "license": "2201001325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.