Individual provider Active NPI

Andrew Joseph Nash, AUD

  • Audiologist
  • Hampton, VA
National Provider Identifier
1902465826
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001710 Issued in IL
Practice address
100 Emancipation Dr
Hampton, VA 23667-7377
Phone
(757) 722-9961
NPI assigned
Jun 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001710 IL Primary

Addresses

Primary practice location

100 Emancipation Dr
Hampton, VA 23667-7377

Mailing address

100 Emancipation Dr
Hampton, VA 23667-0001
Phone (757) 722-9961

Other practice location 1

1000 Eleven S Ste 4F
Columbia, IL 62236-1080
Phone (618) 628-0715

Other practice location 2

1179 Fortune Blvd
Shiloh, IL 62269-7377
Phone (618) 628-0715

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
147001710ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Sinus Sleep & Allergy Associates, LLC PastSince Nov 13, 2019 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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1902465826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EMANCIPATION DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236670001",
            "telephone_number": "757-722-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMANCIPATION DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236677377",
            "telephone_number": "757-722-9961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Eleven S Ste 4F",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "IL",
            "postal_code": "622361080",
            "country_code": "US",
            "telephone_number": "618-628-0715",
            "fax_number": "888-371-4468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1179 Fortune Blvd",
            "address_purpose": "LOCATION",
            "city": "Shiloh",
            "state": "IL",
            "postal_code": "622697377",
            "country_code": "US",
            "telephone_number": "618-628-0715",
            "fax_number": "888-371-4468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2021-05-12",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.