NPIMap

Organization Active NPI

Advanced Hearing AIDS & Audiology, LLC

  • Audiologist
  • Leesburg, VA
National Provider Identifier
1962681189
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001122 Issued in VA
Legal business name
ADVANCED HEARING AIDS & AUDIOLOGY, LLC
Practice address
29 Fairfax St SE
Leesburg, VA 20175-3617
Phone
(703) 777-6424
Fax
(703) 777-6456
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Sharon Wicker, AU.D.NPI 1720028087
Title
Owner
Phone
(703) 777-6424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 2201001122 VA Primary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X 2101-001388 VA

Addresses

Primary practice location

29 Fairfax St SE
Leesburg, VA 20175-3617

Mailing address

29 Fairfax St SE
Leesburg, VA 20175-3617
Phone (703) 777-6424

National Provider Directory

National Provider Directory

Locations

29 Fairfax St SE
Leesburg, VA 20175
Phone (703) 777-6424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1962681189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FAIRFAX ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753617",
            "telephone_number": "703-777-6424",
            "fax_number": "703-777-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 FAIRFAX ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753617",
            "telephone_number": "703-777-6424",
            "fax_number": "703-777-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEARING AIDS & AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "WICKER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-777-6424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001122",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101-001388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.