Active NPI
Kelly Suzanne Paul, AUDIOLOGIST
- Audiologist
- Portsmouth, VA
National Provider Identifier
1992783096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 50792
- Practice address
- 620 John Pual Jpnes Circle
Navy Environmental Health Center Suite 1100
Portsmouth, VA 23708-2103 - Phone
- (757) 953-0775
- Fax
- (757) 953-0685
- NPI assigned
- Jan 9, 2006
- 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 | 50792 | TX | Primary |
Addresses
Primary practice location
620 John Pual Jpnes Circle
Navy Environmental Health Center Suite 1100
Portsmouth, VA 23708-2103
Mailing address
901 Lee Shore CT
Chesapeake, VA 23320-0703
Phone (757) 953-0775
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 |
|---|---|---|---|
| 50792 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992783096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 LEE SHORE CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200703",
"telephone_number": "757-953-0775",
"fax_number": "757-953-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PUAL JPNES CIRCLE",
"address_2": "NAVY ENVIRONMENTAL HEALTH CENTER SUITE 1100",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082103",
"telephone_number": "757-953-0775",
"fax_number": "757-953-0685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "KELLY",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.