Individual provider Active NPI

Kollene Alicia Cordero, AU.D.

  • Audiologist
  • Arlington, VA
National Provider Identifier
1902231376
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001545 Issued in VA
Practice address
1005 N Glebe Rd
Arlington, VA 22201-5718
Phone
(703) 536-1666
NPI assigned
Sep 4, 2013
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001545 VA Primary

Addresses

Primary practice location

1005 N Glebe Rd
Arlington, VA 22201-5718

Mailing address

1005 N Glebe Rd Ste 500
Arlington, VA 22201-5702
Phone (703) 536-1666

Other practice location 1

6564 Loisdale Ct Ste 200
Springfield, VA 22150-1831
Phone (703) 536-1666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610001007 DC Practitioner - Qualified Audiologist 5496979635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists of Northern VAGroup PAC ID 6608761762, 18 clinicians

Practice addresses (Care Compare)

6564 Loisdale CT
Suite 205
Springfield, VA 22150-1812
Phone (703) 644-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Specialists of Northern VA CurrentSince Feb 12, 2014 Accepting new patients

Locations

1005 N Glebe Rd
Ste 500
Arlington, VA 22201
Phone (703) 644-7800

6231 Leesburg Pike
Ste 512
Falls Church, VA 22044
Phone (703) 536-1666

6564 Loisdale Ct
Ste 205
Springfield, VA 22150
Phone (703) 644-7800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1902231376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD STE 500",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015702",
            "telephone_number": "703-536-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015718",
            "telephone_number": "703-536-1666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6564 Loisdale Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221501831",
            "country_code": "US",
            "telephone_number": "703-536-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "KOLLENE",
        "middle_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.