Lillian B Beahm, AU.D
Individual provider Active NPI Audiologist · Roanoke, VA
NPI 1992832703 · NPPES record last updated Apr 30, 2008
Key facts
- NPI
- 1992832703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 2201000211 (VA)
- Practice address
- 102 Highland Ave SE
Roanoke, VA 24013-2256 - Phone
- (540) 343-4423
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201000211 | VA | Yes |
Addresses
Primary practice location
102 Highland Ave SE
Roanoke, VA 24013-2256
Mailing address
102 Highland Ave SE
Roanoke, VA 24013-2256
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992832703 | Medicaid | VA |
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.