Individual provider Active NPI

Michelle Mori

  • Audiologist
  • Henrico, VA
National Provider Identifier
1982262275
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
3450 Mayland CT
Henrico, VA 23233-1468
Phone
(804) 484-3700
Fax
(804) 320-6462
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

3450 Mayland CT
Henrico, VA 23233-1468

Mailing address

3450 Mayland CT
Henrico, VA 23233-1468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706000497 VA Practitioner - Qualified Audiologist 5395125561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Ear Nose and Throat Associates PCGroup PAC ID 6901794999, 32 clinicians

Practice addresses (Care Compare)

3450 Mayland CT
Richmond, VA 23233-1468
Phone (804) 484-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Ear Nose & Throat Associates PC CurrentSince Jul 12, 2022 Accepting new patients
Virginia Ear, Nose and Throat Associates PastSince Jun 26, 2022 Accepting new patients

Locations

7485 Right Flank Rd
Ste 210
Mechanicsville, VA 23116

161 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 484-3702

4700 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 484-3735

3450 Mayland Ct
Richmond, VA 23233

Organizations & group practices 2

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1982262275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 MAYLAND CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 MAYLAND CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331468",
            "telephone_number": "804-484-3700",
            "fax_number": "804-320-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORI",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.