Active NPI
Vanessa Ann Vodan, AUD
- Audiologist
- Brookpark, OH
National Provider Identifier
1922846765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A02546
- Practice address
- 5709 Smith Rd Ste a
Brookpark, OH 44142-2056 - Phone
- (440) 856-4942
- NPI assigned
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A02546 | OH | Primary |
Addresses
Primary practice location
5709 Smith Rd Ste a
Brookpark, OH 44142-2056
Mailing address
5709 Smith Rd Ste a
Brookpark, OH 44142-2056
Phone (440) 856-4942
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A02546 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpaca Audiology, LLC | Audiologist | Past | 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": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1922846765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5709 SMITH RD STE A",
"city": "BROOKPARK",
"state": "OH",
"postal_code": "441422056",
"telephone_number": "440-856-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5709 SMITH RD STE A",
"city": "BROOKPARK",
"state": "OH",
"postal_code": "441422056",
"telephone_number": "440-856-4942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VODAN",
"first_name": "VANESSA",
"middle_name": "ANN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A02546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookpark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.